MALLORY RAE VANDEVENDER FNP-C
NPI 1578218616
Nurse Practitioner - Family in Flowood, MS
About Mallory Rae Vandevender Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY RAE VANDEVENDER FNP-C (NPI 1578218616) is an individual family provider in Flowood, Mississippi, licensed in Mississippi (905114) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Merit Health Women's Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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 Rae Vandevender Fnp-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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Merit Health Women's Hospital
Acute Care Hospitals · Flowood, MSMerit Health River Oaks
Acute Care Hospitals · Flowood, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39232 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vandevender's NPI number?
The NPI number for Mallory Vandevender is 1578218616. It was assigned to this individual provider in the NPPES registry on February 17, 2022.
Where is Mallory Vandevender located?
Mallory Vandevender practices at 4290 Lakeland Dr Ste A, Flowood, MS 39232. The listed phone number is (601) 932-0083.
What is Mallory Vandevender's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mallory Vandevender enrolled in Medicare?
Yes. Mallory Vandevender 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 Vandevender accept?
Health plans from Molina Healthcare and Oscar Health Plan, Inc. list Mallory Vandevender 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 Vandevender affiliated with any hospitals?
According to CMS data, Mallory Vandevender is affiliated with Merit Health Women's Hospital and Merit Health River Oaks.
When was this NPI record last updated?
The NPPES record for Mallory Vandevender was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Rae Vandevender, FNP-C · NPI 1578218616
Family physician in Flowood, Mississippi. Individual provider, active in the CMS NPPES registry since February 17, 2022.
## Identity
- **NPI:** 1578218616 (Entity type: Individual)
- **Enumerated:** February 17, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 905114 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4290 LAKELAND DR STE A, Flowood, MS 39232-9571
- **Phone:** (601) 932-0083
## 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 2021
## Record status
- **NPPES last updated:** February 17, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1578218616) · Data from the CMS NPPES public registry.