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MALLORI MARIE WILSON
NPI 1174154553
Emergency Medicine in Agana Heights, GU

Active since February 04, 2020PECOS EnrolledAccepts Medicare Assignment
U.S. NAVAL HOSPITAL GUAM, AGANA HEIGHTS, GU 96910(671) 344-9340 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Jun 27, 2024, Apr 14, 2020 and 1 more (4 updates tracked since 2020).

About Mallori Marie Wilson NPPES

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

MALLORI MARIE WILSON (NPI 1174154553) is an individual emergency medicine provider in Agana Heights, Guam, licensed in Virginia (0101273537) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Guam Regional Medical City, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1174154553
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMALLORI MARIE WILSON
Location AddressU.S. NAVAL HOSPITAL GUAMAgana Heights, GU 96910
Mailing AddressPsc 455 Box 208Fpo, AP 96540-0003 · (671) 344-9340
Phone(671) 344-9340
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2020
Enumeration DateFebruary 4, 2020
Last NPPES UpdateJune 9, 20254 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1174154553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0101273537✔ Licensed in GU · M-2478
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Practice Location 1

Location 1620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-0669

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 Marie Wilson 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 ID4981027216
PECOS Enrollment IDI20250711001861
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

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

Guam Regional Medical City

Acute Care Hospitals · Dededo, GU
OwnershipVoluntary non-profit - Private
CMS Certification Number650003
Location133 Route 3Dededo, GU 96929 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96910 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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 20

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

DR. EBENEZER ANIAGYEI PHARM.D
Pharmacist (Pharmacotherapy)
U.S. NAVAL HOSPITAL GUAM, FAREBHOLT AVE, BLDG 50
AGANA HEIGHTS, GU 96910
Guam (671) 344-9340
JAMIE LYNN FITCH M.D.
Surgery (Surgical Critical Care)
U.S. NAVAL HOSPITAL GUAM, FARENHOLT AVE, BLDG 50
AGANA HEIGHTS, GU 96910
Guam (671) 344-9235
DR. JOHN B. HOYOS DDS
Dentist (General Practice)
U.S. NAVAL HOSPITAL GUAM, BLDG 50, FARENHOLT AVENUE
AGANA HEIGHTS, GU 96910
Guam (671) 344-6340
RODGER BESLEY CARTER III DO
Family Medicine
U.S. NAVAL HOSPITAL GUAM, BLDG 50, FARENHOLT AVENUE
AGANA HEIGHTS, GU 96910
Guam (671) 344-9340
DR. ASHLEY ANN MARTIN DDS
Dentist
U.S. NAVAL HOSPITAL GUAM, BLDG 50, FARENHOLT AVENUE
AGANA HEIGHTS, GU 96910
Guam (671) 344-9340
DR. ELIZABETH GRACE CONLON MD
Family Medicine
U.S. NAVAL HOSPITAL GUAM, FARENHOLT AVE, BLDG 50
AGANA HEIGHTS, GU 96910
Guam (671) 344-9315
JUSTIN MICHAEL LODER PA-C
Physician Assistant
U.S. NAVAL HOSPITAL GUAM, FARENHOLT AVE, BLDG 50
AGANA HEIGHTS, GU 96910
Guam (671) 344-9315
DR. HENRY TAIT KEENAN MD
Pediatrics
U.S. NAVAL HOSPITAL GUAM, BLDG 50, FARENHOLT AVENUE
AGANA HEIGHTS, GU 96910
Guam (671) 344-9340

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 Wilson's NPI number?

The NPI number for Mallori Wilson is 1174154553. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Mallori Wilson located?

Mallori Wilson practices at U.S. Naval Hospital Guam, Agana Heights, GU 96910. The listed phone number is (671) 344-9340.

What is Mallori Wilson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mallori Wilson enrolled in Medicare?

Yes. Mallori Wilson 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.

Is Mallori Wilson affiliated with any hospitals?

According to CMS data, Mallori Wilson is affiliated with Guam Regional Medical City.

When was this NPI record last updated?

The NPPES record for Mallori Wilson was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.