LISA R MALLORY AGNP-C
NPI 1598223216
Nurse Practitioner - Adult Health in South Charleston, WV
About Lisa R Mallory Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA R MALLORY AGNP-C (NPI 1598223216) is an individual adult health provider in South Charleston, West Virginia, licensed in West Virginia (APRN74140-AGPCNP-BC) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
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 (PECOS)
Lisa R Mallory Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25309 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH CHARLESTON, WV 25309
SOUTH CHARLESTON, WV 25309
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 Lisa Mallory's NPI number?
The NPI number for Lisa Mallory is 1598223216. It was assigned to this individual provider in the NPPES registry on March 12, 2019. The provider is also known as Lisa Adkins Rn.
Where is Lisa Mallory located?
Lisa Mallory practices at 506 Chestnut St, South Charleston, WV 25309. The listed phone number is (304) 766-8558.
What is Lisa Mallory's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Lisa Mallory enrolled in Medicare?
Yes. Lisa Mallory is registered in the Medicare PECOS enrollment system.
What insurance does Lisa Mallory accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Lisa Mallory 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 Lisa Mallory was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lisa R Mallory, AGNP-C · NPI 1598223216
Adult Health physician in South Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since March 12, 2019.
## Identity
- **NPI:** 1598223216 (Entity type: Individual)
- **Enumerated:** March 12, 2019
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN74140-AGPCNP-BC (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 CHESTNUT ST, South Charleston, WV 25309-1204
- **Phone:** (304) 766-8558 · **Fax:** (304) 766-8561
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 7, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1598223216) · Data from the CMS NPPES public registry.