MONIQUE DAWN MALLOY CRNP
NPI 1346900594
Nurse Practitioner in Johnstown, PA

Active since December 28, 2021PECOS Enrolled
817 FRANKLIN ST, JOHNSTOWN, PA 15901(814) 535-5545 Get Directions Write a Review

NPPES record last updated: January 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2026, Dec 28, 2021 (2 updates tracked since 2021).

About Monique Dawn Malloy Crnp NPPES

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

MONIQUE DAWN MALLOY CRNP (NPI 1346900594) is an individual nurse practitioner in Johnstown, Pennsylvania, licensed in Pennsylvania (SP025116) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1346900594
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMONIQUE DAWN MALLOYCredential: CRNP
Location Address817 FRANKLIN STJohnstown, PA 15901-2800
Mailing Address144 Boltz StJohnstown, PA 15902-1620 · (814) 525-2176
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 28, 2021
Last NPPES UpdateJanuary 4, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2026
✔ NPI 1346900594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP025116
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP025116 (PA)
817 FRANKLIN ST, Johnstown, PA 15901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monique Dawn Malloy Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254701527
PECOS Enrollment IDI20221230002024
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Monique Malloy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
88 OSBORNE ST
Johnstown, PA 15905
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
Multi-Specialty
104 DELAWARE AVE STE 244
Uniontown, PA 15401
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Ars Treatment Centers PC
  • 140 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15901 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 4

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

Nurse Practitioner (Family)
817 FRANKLIN ST
JOHNSTOWN, PA 15901
Advanced Practice Midwife
817 FRANKLIN ST
JOHNSTOWN, PA 15901
Advanced Practice Midwife
817 FRANKLIN ST
JOHNSTOWN, PA 15901
Clinic/Center (Family Planning, Non-Surgical)
817 FRANKLIN ST
JOHNSTOWN, PA 15901

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 Monique Malloy's NPI number?

The NPI number for Monique Malloy is 1346900594. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Monique Malloy located?

Monique Malloy practices at 817 Franklin St, Johnstown, PA 15901. The listed phone number is (814) 535-5545.

What is Monique Malloy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Monique Malloy enrolled in Medicare?

Yes. Monique Malloy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monique Malloy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monique Malloy reassigns Medicare benefits to 2 organizations: Renal Care Consultants, PC (Johnstown, PA) and Ars Treatment Centers, P.C. (Uniontown, PA). Each 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 Monique Malloy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monique Malloy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Monique Malloy 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.

Is Monique Malloy affiliated with any hospitals?

According to CMS data, Monique Malloy is affiliated with Upmc Somerset and Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Monique Malloy was last updated on January 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.