MALLORY ELISE WINNICKI NP
NPI 1609656867
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Mallory Winnicki's NPI number?

The NPI number for Mallory Winnicki is 1609656867. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Q: What is Mallory Winnicki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Winnicki was last updated on October 4, 2023. 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.

Active since October 04, 2023PECOS Enrolled

13155 ATLANTIC BLVD, JACKSONVILLE, FL 32225(904) 490-7400 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mallory Elise Winnicki Np NPPES

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

MALLORY ELISE WINNICKI NP (NPI 1609656867) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11028169) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609656867

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMALLORY ELISE WINNICKICredential: NP

Location Address13155 ATLANTIC BLVDJacksonville, FL 32225-3125

Mailing Address10881 San Jose BlvdJacksonville, FL 32223-6612 · (904) 880-5522

Phone(904) 490-7400

Sole ProprietorNo

Enumeration DateOctober 4, 2023

NPPES CertifiedOctober 4, 2023

✔ NPI 1609656867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11028169

13155 ATLANTIC BLVD, Jacksonville, FL 32225

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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 Elise Winnicki Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MRS. SYLVIA PATRICIA RATLIFF NP-C

Nurse Practitioner (Family)