MALLORY LYNNE MIZVITOWICZ CRNP
NPI 1427815042
Nurse Practitioner - Psychiatric/Mental Health in Broomall, PA
About Mallory Lynne Mizvitowicz Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY LYNNE MIZVITOWICZ CRNP (NPI 1427815042) is an individual psychiatric/mental health provider in Broomall, Pennsylvania, licensed in Pennsylvania (SP028758) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
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
Mallory Lynne Mizvitowicz Crnp 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 Mizvitowicz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Drexel Hill, PA 19026
- Reassigned Medicare billing, Pennsylvania enrollment
- 20 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 19008 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mizvitowicz's NPI number?
The NPI number for Mallory Mizvitowicz is 1427815042. It was assigned to this individual provider in the NPPES registry on February 29, 2024.
Where is Mallory Mizvitowicz located?
Mallory Mizvitowicz practices at 2002 Sproul Rd Fl 3, Broomall, PA 19008. The listed phone number is (610) 626-8085.
What is Mallory Mizvitowicz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mallory Mizvitowicz enrolled in Medicare?
Yes. Mallory Mizvitowicz 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 Mizvitowicz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Mizvitowicz reassigns Medicare benefits to Psych Choices Of The Delaware Valley, LLC (Drexel Hill, PA). 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 Mizvitowicz'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 Mizvitowicz was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mallory Lynne Mizvitowicz, CRNP · NPI 1427815042
Psychiatric/Mental Health physician in Broomall, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 29, 2024.
## Identity
- **NPI:** 1427815042 (Entity type: Individual)
- **Enumerated:** February 29, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP028758 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2002 SPROUL RD FL 3, Broomall, PA 19008-3510
- **Phone:** (610) 626-8085
## 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:** Psych Choices Of The Delaware Valley, LLC (NPI 1194213892, Drexel Hill, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 29, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1427815042) · Data from the CMS NPPES public registry.