DR. MALLORY JANE MITCHELL DO
NPI 1235636440
Student in an Organized Health Care Education/Training Program in Modesto, CA
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mallory Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- 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.
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.
Which organization bills Medicare for Mallory Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Mitchell reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Mitchell'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 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.
# Dr. Mallory Jane Mitchell, DO · NPI 1235636440
Student in an Organized Health Care Education/Training Program provider in Modesto, California. Individual provider, active in the CMS NPPES registry since April 12, 2018.
## Identity
- **NPI:** 1235636440 (Entity type: Individual)
- **Enumerated:** April 12, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1405 ROCKHAVEN DR, Modesto, CA 95356-9682
- **Phone:** (209) 380-1574
## 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 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un College Of Osteopathic Medicine, Vallejo, class of 2018
## Record status
- **NPPES last updated:** December 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235636440) · Data from the CMS NPPES public registry.