MALLORY B PUCKETT CNP
NPI 1447753520
Nurse Practitioner - Family in Canton, OH

Active since March 14, 2018PECOS EnrolledAccepts Medicare Assignment
4143 FULTON DR NW, CANTON, OH 44718(330) 244-8888(330) 244-8850 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2025, Mar 14, 2018 (2 updates tracked since 2018).

About Mallory B Puckett Cnp NPPES

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

MALLORY B PUCKETT CNP (NPI 1447753520) is an individual family provider in Canton, Ohio, licensed in Ohio (APRN.CNP.022510) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Summa Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447753520
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY B PUCKETTCredential: CNP
Location Address4143 FULTON DR NWCanton, OH 44718-2819
Mailing Address1700 Boettler Rd Ste 100Uniontown, OH 44685-7793 · (330) 896-0009 · Fax (330) 896-0032
Fax(330) 244-8850
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 14, 2018
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
NPI 1447753520 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 OH · APRN.CNP.022510
4143 FULTON DR NW, Canton, OH 44718

Secondary Practice Locations 2

Location 11700 Boettler Rd Ste 100Uniontown, OH 44685-7793 · Phone (330) 896-0009 · Fax (330) 896-0032
Location 2387 3rd StBergholz, OH 43908-7963 · Phone (740) 768-1001 · Fax (740) 841-4001

Other Identifiers 2

OtherAPRN.CNP.022510OH · Ohelicense
Medicaid0289079OH

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 and accepts Medicare assignment

Mallory B Puckett Cnp 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 ID547525305
PECOS Enrollment IDI20180525000849
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
177 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44718 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Internal Medicine
4143 FULTON DR NW
CANTON, OH 44718
Occupational Therapist
4143 FULTON DR NW
CANTON, OH 44718
Nurse Practitioner (Acute Care)
4143 FULTON DR NW
CANTON, OH 44718
Occupational Therapist
4143 FULTON DR NW
CANTON, OH 44718
Nurse Practitioner (Family)
4143 FULTON DR NW
CANTON, OH 44718
Speech-Language Pathologist
4143 FULTON DR NW
CANTON, OH 44718
Physician Assistant (Medical)
4143 FULTON DR NW
CANTON, OH 44718

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 Puckett's NPI number?

The NPI number for Mallory Puckett is 1447753520. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Mallory Puckett located?

Mallory Puckett practices at 4143 Fulton Dr NW, Canton, OH 44718. The listed phone number is (330) 244-8888.

What is Mallory Puckett's specialty?

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

Is Mallory Puckett enrolled in Medicare?

Yes. Mallory Puckett 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.

What insurance does Mallory Puckett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Mallory Puckett 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 Mallory Puckett affiliated with any hospitals?

According to CMS data, Mallory Puckett is affiliated with Summa Health System and Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Mallory Puckett was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.