MALLORY WILSON CNM
NPI 1497592778
Midwife in Vestal, NY
About Mallory Wilson Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY WILSON CNM (NPI 1497592778) is an individual midwife in Vestal, New York, licensed in New York (002309) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Mallory Wilson Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mallory Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Binghamton, NY 13905
- Reassigned Medicare billing, New York enrollment
- 386 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.
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 Wilson's NPI number?
The NPI number for Mallory Wilson is 1497592778. It was assigned to this individual provider in the NPPES registry on July 12, 2024.
Where is Mallory Wilson located?
Mallory Wilson practices at 3101 Shippers Rd Ste 106, Vestal, NY 13850. The listed phone number is (607) 584-4549.
What is Mallory Wilson's specialty?
The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.
Is Mallory Wilson enrolled in Medicare?
Yes. Mallory Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mallory Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Wilson reassigns Medicare benefits to Our Lady Of Lourdes Memorial Hospital Inc. (Binghamton, NY). 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Wilson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mallory Wilson 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 Wilson was last updated on July 12, 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.