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

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

Q: 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.

Q: What is Mallory Livengood'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 Livengood was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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 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 added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 (28236571A) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

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

Enumeration DateJuly 3, 2026

Last NPPES UpdateJuly 16, 2026

NPPES CertifiedJuly 16, 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 · 28236571A

3800 SAINT MARY RD STE 303, Valparaiso, IN 46383

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Other Names 1

Former Name (1)Mallory Lynn Gore

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 Gore Livengood Dnp, 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 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.

When was this NPI record last updated?

The NPPES record for Mallory Livengood was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.