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MALLORY J EASTER PA-C
NPI 1619403078
Physician Assistant - Medical in Colorado Springs, CO

Active since May 04, 2017PECOS Enrolled
525 BOB PETERS GRV, COLORADO SPRINGS, CO 80909(720) 848-0000 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, Apr 27, 2021 (2 updates tracked since 2021).

About Mallory J Easter Pa-c NPPES

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

MALLORY J EASTER PA-C (NPI 1619403078) is an individual medical provider in Colorado Springs, Colorado and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1619403078
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALLORY J EASTERCredential: PA-C
Location Address525 BOB PETERS GRVColorado Springs, CO 80909-4533
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(720) 848-0000
Sole ProprietorNo
Enumeration DateMay 4, 2017
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1619403078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0006555 (CO)
525 BOB PETERS GRV, Colorado Springs, CO 80909
Open in Google Maps ↗

Secondary Practice Location 1

Location 1115 S Parkside DrColorado Springs, CO 80910-3130 · Phone (719) 572-6100

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 J Easter Pa-c 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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services37 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services14 patients

Other Providers at the Same Location NPPES 4

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

KALEIGH DOKE MD
Radiology (Radiation Oncology)
525 BOB PETERS GRV
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6800
PAIGE MARIE STOCKARD
Genetic Counselor, MS
525 BOB PETERS GRV
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6568
DR. MIHIR NAIK D.O.
Radiology (Radiation Oncology)
525 BOB PETERS GRV
COLORADO SPRINGS, CO 80909
El Paso County (720) 848-0000
MEREDITH J MCKEE N.P
Nurse Practitioner (Adult Health)
525 BOB PETERS GRV
COLORADO SPRINGS, CO 80909
El Paso County (720) 848-0000

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 Easter's NPI number?

The NPI number for Mallory Easter is 1619403078. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Mallory Easter located?

Mallory Easter practices at 525 Bob Peters Grv, Colorado Springs, CO 80909. The listed phone number is (720) 848-0000.

What is Mallory Easter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mallory Easter enrolled in Medicare?

Yes. Mallory Easter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Easter was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.