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CAITLIN BROOK MALLORY FNP
NPI 1124509070
Nurse Practitioner - Family in Provo, UT

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
86.2/100
CMS Quality Rating
1055 N 500 W BLDG A, PROVO, UT 84604(801) 812-5033(801) 812-5034 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2020, Aug 28, 2018 (2 updates tracked since 2018).

About Caitlin Brook Mallory Fnp NPPES

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

CAITLIN BROOK MALLORY FNP (NPI 1124509070) is an individual family provider in Provo, Utah, licensed in Utah (7725435-4405) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124509070
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAITLIN BROOK MALLORYCredential: FNP
Location Address1055 N 500 W BLDG AProvo, UT 84604-3305
Mailing Address1055 N 500 W, Attn. CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 812-5033
Fax(801) 812-5034
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2018
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2020
✔ NPI 1124509070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 7725435-4405
1055 N 500 W BLDG A, Provo, UT 84604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Caitlin Brook Mallory Fnp 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 ID9133471675
PECOS Enrollment IDI20210701001234
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.28
Promoting Interoperability100
Improvement Activities40
Cost73.72

Other Providers at the Same Location NPPES 20

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

BEVERLY LARAINE WILLIAMS
Social Worker (Clinical)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 354-8225
MARIA RUTH HOEGH APRN
Nurse Practitioner (Family)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
ELIZABETH ANN LARSEN APRN
Nurse Practitioner (Family)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
AMY LYNN DALTON
Nurse Practitioner
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
JASON ALLEN PA
Physician Assistant
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
AUBREE MCKELL EARNEST
Nurse Practitioner (Family)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
LEAH TOSHINA YOUNG PA-S
Physician Assistant
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033
ARTHUR TYSON BOLTZ FNP-C
Nurse Practitioner (Family)
1055 N 500 W BLDG A
PROVO, UT 84604
Utah County (801) 812-5033

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 Caitlin Mallory's NPI number?

The NPI number for Caitlin Mallory is 1124509070. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Caitlin Mallory located?

Caitlin Mallory practices at 1055 N 500 W Bldg A, Provo, UT 84604. The listed phone number is (801) 812-5033.

What is Caitlin Mallory's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caitlin Mallory enrolled in Medicare?

Yes. Caitlin Mallory 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 Caitlin Mallory accept?

Health plans from HMSA list Caitlin Mallory 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.

Is Caitlin Mallory affiliated with any hospitals?

According to CMS data, Caitlin Mallory is affiliated with Wilcox Memorial Hospital and Straub Clinic And Hospital.

When was this NPI record last updated?

The NPPES record for Caitlin Mallory was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.