MALLORY BETH PURVIS
NPI 1184502163
Nurse Practitioner - Family in Marianna, FL

Active since August 26, 2025PECOS Enrolled
4896 HIGHWAY 90 STE A, MARIANNA, FL 32446(850) 526-6700(850) 526-6701 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Beth Purvis NPPES

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

MALLORY BETH PURVIS (NPI 1184502163) is an individual family provider in Marianna, Florida, licensed in Florida (APRN11039792) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184502163
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY BETH PURVIS
Location Address4896 HIGHWAY 90 STE AMarianna, FL 32446-7840
Mailing Address4250 Hospital DrMarianna, FL 32446-1917
Fax(850) 526-6701
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
NPI 1184502163 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 FL · APRN11039792
4896 HIGHWAY 90 STE A, Marianna, FL 32446

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mallory Beth Purvis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204338882
PECOS Enrollment IDI20250903004281
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32446 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 5

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

Nurse Practitioner (Family)
4896 HIGHWAY 90 STE A
MARIANNA, FL 32446
Nurse Practitioner (Primary Care)
4896 HIGHWAY 90 STE A
MARIANNA, FL 32446
Nurse Practitioner (Family)
4896 HIGHWAY 90 STE A
MARIANNA, FL 32446
Nurse Practitioner (Family)
4896 HIGHWAY 90 STE A
MARIANNA, FL 32446
Nurse Practitioner (Family)
4896 HIGHWAY 90 STE A
MARIANNA, FL 32446

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 Mallory Purvis's NPI number?

The NPI number for Mallory Purvis is 1184502163. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Mallory Purvis located?

Mallory Purvis practices at 4896 Highway 90 Ste A, Marianna, FL 32446. The listed phone number is (850) 526-6700.

What is Mallory Purvis's specialty?

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

Is Mallory Purvis enrolled in Medicare?

Yes. Mallory Purvis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Purvis was last updated on August 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.