MS. CAROLYN ROSA MALLON APRN
NPI 1215537287
Nurse Practitioner - Psychiatric/Mental Health in Concord, NH

Q: What is Carolyn Mallon's NPI number?

The NPI number for Carolyn Mallon is 1215537287. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Q: What is Carolyn Mallon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Carolyn Mallon enrolled in Medicare?

No. Carolyn Mallon has opted out of Medicare through June 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Mallon was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 29, 2020Opted out of Medicare · through Jun 20, 2028

112 PLEASANT ST STE 2B, CONCORD, NH 03301(603) 852-0639(603) 250-2370 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2023, Feb 4, 2021, Oct 29, 2020 (3 updates tracked since 2020).

On this page

About Ms. Carolyn Rosa Mallon Aprn NPPES

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

MS. CAROLYN ROSA MALLON APRN (NPI 1215537287) is an individual psychiatric/mental health provider in Concord, New Hampshire, licensed in New Hampshire (066040-23) and active in the NPI registry since October 2020. She has opted out of Medicare through June 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215537287

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. CAROLYN ROSA MALLONCredential: APRN

Location Address112 PLEASANT ST STE 2BConcord, NH 03301-2931

Mailing Address75 S Main StConcord, NH 03301-4868 · (603) 852-0639 · Fax (603) 250-2370

Phone(603) 852-0639

Fax(603) 250-2370

Sole ProprietorYes

Enumeration DateOctober 29, 2020

Last NPPES UpdateMarch 20, 20233 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1215537287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NH · 066040-23

112 PLEASANT ST STE 2B, Concord, NH 03301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ms. Carolyn Rosa Mallon Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 20, 2024 through June 20, 2028.

Opt-Out Effective DateJune 20, 2024

Opt-Out In Effect ThroughJune 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03301 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

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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

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

STACIA H LANGILLE

Counselor (Mental Health)

112 PLEASANT ST STE 2B
CONCORD, NH 03301

Merrimack County (603) 852-0639

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 Carolyn Mallon's NPI number?

The NPI number for Carolyn Mallon is 1215537287. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Carolyn Mallon located?

Carolyn Mallon practices at 112 Pleasant St Ste 2B, Concord, NH 03301. The listed phone number is (603) 852-0639.

What is Carolyn Mallon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carolyn Mallon enrolled in Medicare?

No. Carolyn Mallon has opted out of Medicare through June 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Carolyn Mallon accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and WellSense Health Plan list Carolyn Mallon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Mallon was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.