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

Q: 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.

Q: What is Mallory Gergely's specialty?

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

Q: When was this NPI record last updated?

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

Active since August 13, 2014PECOS Enrolled

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: July 26, 2026.

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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. She is enrolled in Medicare PECOS.

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

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Other Names 1

Former Name (1)Miss Mallory Nicole Gallucci

Other Identifiers 1

Medicare PIN404674PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 15650 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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Other Providers at the Same Location NPPES 18

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

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