MALLORY K. PEARSON PA
NPI 1407564537
Physician Assistant in Fort Wayne, IN
About Mallory K. Pearson Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY K. PEARSON PA (NPI 1407564537) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10003871A) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mallory K. Pearson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
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 Pearson's NPI number?
The NPI number for Mallory Pearson is 1407564537. It was assigned to this individual provider in the NPPES registry on November 8, 2022.
Where is Mallory Pearson located?
Mallory Pearson practices at 11115 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 672-6443.
What is Mallory Pearson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mallory Pearson enrolled in Medicare?
Yes. Mallory Pearson is registered in the Medicare PECOS enrollment system.
What insurance does Mallory Pearson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mallory Pearson 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.
When was this NPI record last updated?
The NPPES record for Mallory Pearson was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Mallory K. Pearson, PA · NPI 1407564537
Physician Assistant physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since November 8, 2022.
## Identity
- **NPI:** 1407564537 (Entity type: Individual)
- **Enumerated:** November 8, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 10003871A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11115 PARKVIEW PLAZA DR, Fort Wayne, IN 46845-1701
- **Phone:** (260) 672-6443 · **Fax:** (260) 672-6459
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 3, 2026
- **Other identifiers:** Medicaid 300070888 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1407564537) · Data from the CMS NPPES public registry.