MALLORY WILSON CNM
NPI 1497592778
Midwife in Vestal, NY

Active since July 12, 2024PECOS Enrolled
3101 SHIPPERS RD STE 106, VESTAL, NY 13850(607) 584-4549 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1497592778
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMALLORY WILSONCredential: CNM
Location Address3101 SHIPPERS RD STE 106Vestal, NY 13850-2081
Mailing Address3101 Shippers Rd Ste 106Vestal, NY 13850-2081 · (607) 644-4585
Sole ProprietorNo
Enumeration DateJuly 12, 2024
NPPES CertifiedJuly 8, 2024
NPI 1497592778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in NY · 002309
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
3101 SHIPPERS RD STE 106, Vestal, NY 13850

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mallory Wilson Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.