LIANNA MALLORY NP
NPI 1174406524
Nurse Practitioner - Family in Albany, NY
About Lianna Mallory Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIANNA MALLORY NP (NPI 1174406524) is an individual family provider in Albany, New York, licensed in New York (355822) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Lianna Mallory 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 Reassignment
Medicare enrollment records show Lianna Mallory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albany, NY 12209
- Reassigned Medicare billing, New York enrollment
- 16 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Peter's Hospital
Acute Care Hospitals · Albany, NYSamaritan Hospital Of Troy, New York
Acute Care Hospitals · Troy, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12209 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 20
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 Lianna Mallory's NPI number?
The NPI number for Lianna Mallory is 1174406524. It was assigned to this individual provider in the NPPES registry on July 30, 2025.
Where is Lianna Mallory located?
Lianna Mallory practices at 62 Hackett Blvd, Albany, NY 12209. The listed phone number is (518) 291-3368.
What is Lianna Mallory's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lianna Mallory enrolled in Medicare?
Yes. Lianna 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.
Which organization bills Medicare for Lianna Mallory's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lianna Mallory reassigns Medicare benefits to New York Nephrology And Dialysis Access Surgery, P.C. (Albany, NY). The 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 Lianna Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lianna Mallory affiliated with any hospitals?
According to CMS data, Lianna Mallory is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.
When was this NPI record last updated?
The NPPES record for Lianna Mallory was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Lianna Mallory, NP · NPI 1174406524
Family physician in Albany, New York. Individual provider, active in the CMS NPPES registry since July 30, 2025.
## Identity
- **NPI:** 1174406524 (Entity type: Individual)
- **Enumerated:** July 30, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 355822 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 62 HACKETT BLVD, Albany, NY 12209-1756
- **Phone:** (518) 291-3368
## 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:** New York Nephrology And Dialysis Access Surgery, P.C. (NPI 1558338806, Albany, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174406524) · Data from the CMS NPPES public registry.