MRS. MALLORY CRANOR APRN
NPI 1427432749
Nurse Practitioner - Family in Russellville, AR

Active since July 16, 2015PECOS Enrolled
220 N SIDNEY AVE, RUSSELLVILLE, AR 72801(479) 498-0858(479) 498-0809 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Mallory Cranor Aprn NPPES

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

MRS. MALLORY CRANOR APRN (NPI 1427432749) is an individual family provider in Russellville, Arkansas, licensed in Arkansas (A004427) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clarksville.

NPPES Registry Identity

NPI1427432749
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MALLORY CRANORCredential: APRN
Location Address220 N SIDNEY AVERussellville, AR 72801-4389
Mailing Address220 N Sidney AveRussellville, AR 72801-4389 · (479) 498-0858 · Fax (479) 498-0809
Fax(479) 498-0809
Sole ProprietorNo
Enumeration DateJuly 16, 2015
Last NPPES UpdateOctober 6, 2017
✔ NPI 1427432749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · A004427
220 N SIDNEY AVE, Russellville, AR 72801

Secondary Practice Location 1

Location 123 Professional Park DrClarksville, AR 72830-4432 · Phone (479) 754-4721

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)

Mrs. Mallory Cranor Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mallory Cranor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
220 N SIDNEY AVE
Russellville, AR 72801
  • Reassigned Medicare billing, Arkansas enrollment
  • 3 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72801 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 2

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

Pediatrics
220 N SIDNEY AVE
RUSSELLVILLE, AR 72801
Pediatrics
220 N SIDNEY AVE
RUSSELLVILLE, AR 72801

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 Cranor's NPI number?

The NPI number for Mallory Cranor is 1427432749. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Where is Mallory Cranor located?

Mallory Cranor practices at 220 N Sidney Ave, Russellville, AR 72801. The listed phone number is (479) 498-0858.

What is Mallory Cranor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallory Cranor enrolled in Medicare?

Yes. Mallory Cranor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mallory Cranor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Cranor reassigns Medicare benefits to Russellville Pediatric & Adolescent Clinic, PA (Russellville, AR). 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 Cranor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Cranor accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Mallory Cranor 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 Cranor was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.