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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MALLORY GORE LIVENGOOD DNP, FNP
NPI 1629995253
Nurse Practitioner - Family in Valparaiso, IN

Active since July 03, 2026PECOS Enrolled
3800 SAINT MARY RD STE 303, VALPARAISO, IN 46383(219) 286-3832(219) 703-6935 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2026, Jul 16, 2026 (2 updates tracked since 2026).

About Mallory Gore Livengood Dnp, Fnp NPPES

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

MALLORY GORE LIVENGOOD DNP, FNP (NPI 1629995253) is an individual family provider in Valparaiso, Indiana, licensed in Indiana (71018442A) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hobart, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1629995253
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY GORE LIVENGOODCredential: DNP, FNP
Location Address3800 SAINT MARY RD STE 303Valparaiso, IN 46383-3986
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Phone(219) 286-3832
Fax(219) 703-6935
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 3, 2026
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1629995253 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 IN · 71018442A
3800 SAINT MARY RD STE 303, Valparaiso, IN 46383
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Other Names 1

Former Name (1)Mallory Lynn Gore

Secondary Practice Location 1

Location 11400 S Lake Park Ave Ste 301Hobart, IN 46342-6791 · Phone (219) 286-3832 · Fax (219) 703-6935

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Gore Livengood Dnp, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971060625
PECOS Enrollment IDI20260812003360
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.

Medicare Billing Reassignment

Medicare enrollment records show Mallory Livengood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Network Inc
24 mi
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
NPI 1457610487 (219) 365-7620

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

DANIEL RICHARD KOTFER MD
Psychiatry & Neurology (Neurology)
3800 SAINT MARY RD STE 303
VALPARAISO, IN 46383
Porter County (219) 286-3832

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 Livengood's NPI number?

The NPI number for Mallory Livengood is 1629995253. It was assigned to this individual provider in the NPPES registry on July 3, 2026. The provider is also known as Mallory Lynn Gore.

Where is Mallory Livengood located?

Mallory Livengood practices at 3800 Saint Mary Rd Ste 303, Valparaiso, IN 46383. The listed phone number is (219) 286-3832.

What is Mallory Livengood's specialty?

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

Is Mallory Livengood enrolled in Medicare?

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

Which organization bills Medicare for Mallory Livengood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Livengood reassigns Medicare benefits to Community Care Network Inc (St John, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Livengood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Livengood accept?

Health plans from Anthem Blue Cross and Blue Shield list Mallory Livengood 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 Mallory Livengood was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 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.