Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MALLORY MAXWELL FNP
NPI 1609797679
Nurse Practitioner in Clovis, NM

Q: What is Mallory Maxwell's NPI number?

The NPI number for Mallory Maxwell is 1609797679. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Q: What is Mallory Maxwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Maxwell was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 July 23, 2026PECOS Enrolled

912 W 21ST ST, CLOVIS, NM 88101(575) 935-9000(575) 935-1002 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mallory Maxwell Fnp NPPES

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

MALLORY MAXWELL FNP (NPI 1609797679) is an individual nurse practitioner in Clovis, New Mexico, licensed in New Mexico (90737) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609797679

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMALLORY MAXWELLCredential: FNP

Location Address912 W 21ST STClovis, NM 88101-4149

Mailing Address912 W 21st StClovis, NM 88101-4149 · (575) 935-9000 · Fax (575) 935-1002

Phone(575) 935-9000

Fax(575) 935-1002

Sole ProprietorNo

Enumeration DateJuly 23, 2026

NPPES CertifiedJuly 15, 2026

✔ NPI 1609797679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NM · 90737

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

912 W 21ST ST, Clovis, NM 88101

Open in Google Maps ↗

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 Maxwell Fnp 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 88101 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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 11

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

CHARLENE ANAELE FNP

Nurse Practitioner (Family)