MALLORY PAIGE MULLIKIN NP
NPI 1235620592
Nurse Practitioner - Family in Petaluma, CA
About Mallory Paige Mullikin Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY PAIGE MULLIKIN NP (NPI 1235620592) is an individual family provider in Petaluma, California, licensed in California (95008697) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mallory Paige Mullikin 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.
Medicare Billing Reassignment
Medicare enrollment records show Mallory Mullikin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PETALUMA, CA 94954
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 Mullikin's NPI number?
The NPI number for Mallory Mullikin is 1235620592. It was assigned to this individual provider in the NPPES registry on May 22, 2018.
Where is Mallory Mullikin located?
Mallory Mullikin practices at 3900 Lakeville Hwy, Petaluma, CA 94954. The listed phone number is (707) 765-3900.
What is Mallory Mullikin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mallory Mullikin enrolled in Medicare?
Yes. Mallory Mullikin 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.
Which organization bills Medicare for Mallory Mullikin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Mullikin reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). 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 Mullikin'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 Mullikin was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mallory Paige Mullikin, NP · NPI 1235620592
Family physician in Petaluma, California. Individual provider, active in the CMS NPPES registry since May 22, 2018.
## Identity
- **NPI:** 1235620592 (Entity type: Individual)
- **Enumerated:** May 22, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95008697 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3900 LAKEVILLE HWY, Petaluma, CA 94954-5698
- **Phone:** (707) 765-3900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235620592) · Data from the CMS NPPES public registry.