LIANNA MALLORY NP
NPI 1174406524
Nurse Practitioner - Family in Albany, NY

Active since July 30, 2025PECOS EnrolledAccepts Medicare Assignment
62 HACKETT BLVD, ALBANY, NY 12209(518) 291-3368 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1174406524
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIANNA MALLORYCredential: NP
Location Address62 HACKETT BLVDAlbany, NY 12209-1756
Mailing Address100 Martins Hill RdRavena, NY 12143-2811 · (518) 291-3368
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 30, 2025
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
NPI 1174406524 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 NY · 355822
62 HACKETT BLVD, Albany, NY 12209

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

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.

PECOS PAC ID1951808906
PECOS Enrollment IDI20251007003021
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.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Nurse Practitioner (Women's Health)
62 HACKETT BLVD
ALBANY, NY 12209
Obstetrics & Gynecology
62 HACKETT BLVD
ALBANY, NY 12209
Family Medicine
62 HACKETT BLVD
ALBANY, NY 12209
Internal Medicine (Nephrology)
62 HACKETT BLVD
ALBANY, NY 12209
Psychologist
62 HACKETT BLVD
ALBANY, NY 12209
Dietitian, Registered (Nutrition, Renal)
62 HACKETT BLVD
ALBANY, NY 12209
Internal Medicine (Nephrology)
62 HACKETT BLVD
ALBANY, NY 12209
Nurse Practitioner (Family)
62 HACKETT BLVD
ALBANY, NY 12209

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.

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 11 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.