MALLORY LEBLANC
NPI 1497469282
Physician Assistant - Medical in Plantation, FL

Active since January 06, 2023PECOS EnrolledAccepts Medicare Assignment
6931 W BROWARD BLVD, PLANTATION, FL 33317(954) 321-5191 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, Jan 6, 2023 (2 updates tracked since 2023).

About Mallory Leblanc NPPES

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

MALLORY LEBLANC (NPI 1497469282) is an individual medical provider in Plantation, Florida, licensed in Florida (9119379) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497469282
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALLORY LEBLANC
Location Address6931 W BROWARD BLVDPlantation, FL 33317-2902
Mailing Address3200 S University DrDavie, FL 33328-2018 · (954) 262-1250
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 6, 2023
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1497469282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · 9119379
6931 W BROWARD BLVD, Plantation, FL 33317

Secondary Practice Locations 2

Location 110000 Stirling Rd Ste 7Hollywood, FL 33024-8067 · Phone (954) 589-5169
Location 29600 NE 2nd AveMiami Shores, FL 33138-2722 · Phone (305) 603-7650

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 Leblanc 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 ID3375050875
PECOS Enrollment IDI20250729003671
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.

Other Providers at the Same Location NPPES 6

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

Chiropractor
6931 W BROWARD BLVD
PLANTATION, FL 33317
Physician Assistant
6931 W BROWARD BLVD
PLANTATION, FL 33317
Physician Assistant
6931 W BROWARD BLVD
PLANTATION, FL 33317
Clinic/Center (Urgent Care)
6931 W BROWARD BLVD
PLANTATION, FL 33317
Clinic/Center (Primary Care)
6931 W BROWARD BLVD
PLANTATION, FL 33317
General Practice
6931 W BROWARD BLVD
PLANTATION, FL 33317

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 Leblanc's NPI number?

The NPI number for Mallory Leblanc is 1497469282. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Mallory Leblanc located?

Mallory Leblanc practices at 6931 W Broward Blvd, Plantation, FL 33317. The listed phone number is (954) 321-5191.

What is Mallory Leblanc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mallory Leblanc enrolled in Medicare?

Yes. Mallory Leblanc 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.

When was this NPI record last updated?

The NPPES record for Mallory Leblanc was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.