MALLORI WEAVER HERNANDEZ NP
NPI 1104589183
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mallori Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78759
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Friendswood, TX 77546
- Reassigned Medicare billing, Texas enrollment
- 494 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Mallori Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallori Hernandez reassigns Medicare benefits to 2 organizations: Northwest Psychiatry PA (Austin, TX) and Progressive Behavioral Health, PLLC (Friendswood, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallori Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Mallori Weaver Hernandez, NP · NPI 1104589183
Psychiatric/Mental Health physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since October 18, 2021.
## Identity
- **NPI:** 1104589183 (Entity type: Individual)
- **Enumerated:** October 18, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1057095 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 11673 JOLLYVILLE RD STE 202, Austin, TX 78759-4211
- **Phone:** (512) 342-7979 · **Fax:** (512) 637-2596
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northwest Psychiatry PA (NPI 1225297344, Austin, TX); Progressive Behavioral Health, PLLC (NPI 1659567238, Friendswood, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104589183) · Data from the CMS NPPES public registry.