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MRS. MALLORY NICOLE GERGELY
NPI 1215346408
Nurse Practitioner - Family in Latrobe, PA

Active since August 13, 2014
1010 LIGONIER ST, LATROBE, PA 15650(724) 589-8581(724) 539-2739 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Mallory Nicole Gergely NPPES

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

MRS. MALLORY NICOLE GERGELY (NPI 1215346408) is an individual family provider in Latrobe, Pennsylvania, licensed in Pennsylvania (SP014096) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1215346408
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MALLORY NICOLE GERGELY
Location Address1010 LIGONIER STLatrobe, PA 15650-1846
Mailing Address520 Jefferson Ave, Suite 400Jeannette, PA 15644-2538 · (724) 527-8060 · Fax (724) 522-4002
Phone(724) 589-8581
Fax(724) 539-2739
Sole ProprietorNo
Enumeration DateAugust 13, 2014
Last NPPES UpdateJanuary 24, 2017
✔ NPI 1215346408 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 PA · SP014096
1010 LIGONIER ST, Latrobe, PA 15650
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Mallory Nicole Gallucci

Other Identifiers 1

Medicare PIN404674PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mallory Nicole Gergely is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mallory Gergely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excela Health Physician Practices, Inc.
Same address
Family Medicine
1010 LIGONIER ST STE 1
Latrobe, PA 15650
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 669 clinicians in this Medicare group
NPI 1194149427 (724) 537-0733

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

VITTONE EYE SURGICAL ASSOCIATES PC
Ophthalmology
1010 LIGONIER ST
LATROBE, PA 15650
Westmoreland County (724) 539-1671
MICHAEL A VITTONE MD
Ophthalmology
1010 LIGONIER ST
LATROBE, PA 15650
Westmoreland County (724) 539-1671
ROBERT W ROGERS OD
Optometrist (Corneal and Contact Management)
1010 LIGONIER ST
LATROBE, PA 15650
Westmoreland County (724) 539-1671
VITTONE EYE SURGICAL ASSOCIATES PC
Ophthalmology
1010 LIGONIER ST
LATROBE, PA 15650
Westmoreland County (724) 539-1671
RONALD B VITTONE MD
Ophthalmology
1010 LIGONIER ST
LATROBE, PA 15650
Westmoreland County (724) 539-1671
RONALD B VITTONE MD
Ophthalmology
1010 LIGONIER ST
LATROBE, PA 15650
Westmoreland County (724) 539-1671
LISA M NULL PA-C
Physician Assistant (Medical)
1010 LIGONIER ST
LATROBE, PA 15650
Westmoreland County (724) 539-8581
LIGONIER ANESTHESIA ASSOCIATES LLC
Nurse Anesthetist, Certified Registered
1010 LIGONIER ST
LATROBE, PA 15650
Westmoreland County (724) 539-1671

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 Gergely's NPI number?

The NPI number for Mallory Gergely is 1215346408. It was assigned to this individual provider in the NPPES registry on August 13, 2014. The provider is also known as Miss Mallory Nicole Gallucci.

Where is Mallory Gergely located?

Mallory Gergely practices at 1010 Ligonier St, Latrobe, PA 15650. The listed phone number is (724) 589-8581.

What is Mallory Gergely's specialty?

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

Is Mallory Gergely enrolled in Medicare?

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

Which organization bills Medicare for Mallory Gergely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Gergely reassigns Medicare benefits to Excela Health Physician Practices, Inc. (Latrobe, PA). 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 Mallory Gergely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mallory Gergely was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.