Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MALLORY ALEXIS FREEMAN APRN
NPI 1255009056
Nurse Practitioner - Psychiatric/Mental Health in East Berlin, CT

Active since September 06, 2021PECOS EnrolledAccepts Medicare Assignment
1224 MILL ST, EAST BERLIN, CT 06023(860) 348-5650(860) 855-7708 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Feb 4, 2023, Jan 10, 2023 and 2 more (5 updates tracked since 2021).

About Mallory Alexis Freeman Aprn NPPES

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

MALLORY ALEXIS FREEMAN APRN (NPI 1255009056) is an individual psychiatric/mental health provider in East Berlin, Connecticut, licensed in Connecticut (10018) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255009056
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMALLORY ALEXIS FREEMANCredential: APRN
Location Address1224 MILL STEast Berlin, CT 06023-1159
Mailing Address9 Arnold DrEast Hartford, CT 06108-2909 · (860) 348-5650 · Fax (860) 855-7708
Fax(860) 855-7708
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 6, 2021
Last NPPES UpdateJuly 1, 20265 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1255009056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CT · 10018
Also ListedRegistered NurseTaxonomy 163W00000X · License 126588 (CT)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 10018 (CT)
1224 MILL ST, East Berlin, CT 06023

Secondary Practice Location 1

Location 1189 Storrs RdMansfield Center, CT 06250-1683 · Phone (860) 456-1311

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

Mallory Alexis Freeman Aprn 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 ID2567850928
PECOS Enrollment IDI20211104000523
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 06023 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 5

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

Counselor (Professional)
1224 MILL ST, BUILDING B, SUITE 103
EAST BERLIN, CT 06023
Counselor (Professional)
1224 MILL ST
EAST BERLIN, CT 06023
Prosthetic/Orthotic Supplier
1224 MILL ST, BLDG B
EAST BERLIN, CT 06023
Durable Medical Equipment & Medical Supplies
1224 MILL ST, BUILDING B
EAST BERLIN, CT 06023
Psychiatry & Neurology (Psychiatry)
1224 MILL ST, BLDG B
EAST BERLIN, CT 06023

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 Freeman's NPI number?

The NPI number for Mallory Freeman is 1255009056. It was assigned to this individual provider in the NPPES registry on September 6, 2021.

Where is Mallory Freeman located?

Mallory Freeman practices at 1224 Mill St, East Berlin, CT 06023. The listed phone number is (860) 348-5650.

What is Mallory Freeman's specialty?

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

Is Mallory Freeman enrolled in Medicare?

Yes. Mallory Freeman 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 Freeman was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.