MALLORY C EDWARDS PA-C
NPI 1467876409
Physician Assistant in Granville, NY
About Mallory C Edwards Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY C EDWARDS PA-C (NPI 1467876409) is an individual physician assistant in Granville, New York, licensed in New York (017372) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains a secondary practice location in Irvine.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 C Edwards Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaleida Health
Acute Care Hospitals · Buffalo, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12832 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANVILLE, NY 12832
GRANVILLE, NY 12832
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 Edwards's NPI number?
The NPI number for Mallory Edwards is 1467876409. It was assigned to this individual provider in the NPPES registry on February 11, 2014.
Where is Mallory Edwards located?
Mallory Edwards practices at 79 North St, Granville, NY 12832. The listed phone number is (518) 642-0612.
What is Mallory Edwards's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mallory Edwards enrolled in Medicare?
Yes. Mallory Edwards 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.
Is Mallory Edwards affiliated with any hospitals?
According to CMS data, Mallory Edwards is affiliated with Kaleida Health.
When was this NPI record last updated?
The NPPES record for Mallory Edwards was last updated on April 22, 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 C Edwards, PA-C · NPI 1467876409
Physician Assistant physician in Granville, New York. Individual provider, active in the CMS NPPES registry since February 11, 2014.
## Identity
- **NPI:** 1467876409 (Entity type: Individual)
- **Enumerated:** February 11, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 017372 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 79 NORTH ST, Granville, NY 12832-1137
- **Phone:** (518) 642-0612
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467876409) · Data from the CMS NPPES public registry.