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MALLORI WEAVER HERNANDEZ NP
NPI 1104589183
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Active since October 18, 2021PECOS EnrolledAccepts Medicare Assignment
11673 JOLLYVILLE RD STE 202, AUSTIN, TX 78759(512) 342-7979(512) 637-2596 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2023, Oct 18, 2021 (2 updates tracked since 2021).

About Mallori Weaver Hernandez Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORI WEAVER HERNANDEZ NP (NPI 1104589183) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (1057095) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104589183
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMALLORI WEAVER HERNANDEZCredential: NP
Location Address11673 JOLLYVILLE RD STE 202Austin, TX 78759-4211
Mailing Address10500 Lakeline Mall Dr Apt 4202Austin, TX 78717-0078 · (512) 214-2700
Phone(512) 342-7979
Fax(512) 637-2596
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 18, 2021
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1104589183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1057095
11673 JOLLYVILLE RD STE 202, Austin, TX 78759
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallori Weaver Hernandez Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890153829
PECOS Enrollment IDI20230622002136
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHYATI DELADA PA
Physician Assistant (Medical)
11673 JOLLYVILLE RD STE 202
AUSTIN, TX 78759
Travis County (512) 342-7979
MS. KATHLEEN NGUYEN PA-C
Physician Assistant (Medical)
11673 JOLLYVILLE RD STE 202
AUSTIN, TX 78759
Travis County (512) 342-7979
PERSONAL NUTRITION, INC
Dietitian, Registered
11673 JOLLYVILLE RD STE 202
AUSTIN, TX 78759
Travis County (512) 745-0868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallori Hernandez's NPI number?

The NPI number for Mallori Hernandez is 1104589183. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Mallori Hernandez located?

Mallori Hernandez practices at 11673 Jollyville Rd Ste 202, Austin, TX 78759. The listed phone number is (512) 342-7979.

What is Mallori Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mallori Hernandez enrolled in Medicare?

Yes. Mallori Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mallori Hernandez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Mallori Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallori Hernandez was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.