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DR. MALLORY JANE MITCHELL DO
NPI 1235636440
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
1405 ROCKHAVEN DR, MODESTO, CA 95356(209) 380-1574 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2021, Apr 12, 2018 (2 updates tracked since 2018).

About Dr. Mallory Jane Mitchell Do NPPES

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

DR. MALLORY JANE MITCHELL DO (NPI 1235636440) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2018).

NPPES Registry Identity

NPI1235636440
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MALLORY JANE MITCHELLCredential: DO
Location Address1405 ROCKHAVEN DRModesto, CA 95356-9682
Mailing Address1405 Rockhaven DrModesto, CA 95356-9682 · (209) 380-1574
Phone(209) 380-1574
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2018
Enumeration DateApril 12, 2018
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
✔ NPI 1235636440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1405 ROCKHAVEN DR, Modesto, CA 95356
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mallory Jane Mitchell Do 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.

PECOS PAC ID8224485321
PECOS Enrollment IDI20231110002360
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.

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 Mitchell's NPI number?

The NPI number for Mallory Mitchell is 1235636440. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Mallory Mitchell located?

Mallory Mitchell practices at 1405 Rockhaven Dr, Modesto, CA 95356. The listed phone number is (209) 380-1574.

What is Mallory Mitchell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mallory Mitchell enrolled in Medicare?

Yes. Mallory Mitchell 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.

When was this NPI record last updated?

The NPPES record for Mallory Mitchell was last updated on December 20, 2021. 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.