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STACY S MALLARE
NPI 1639540420
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD

Active since October 19, 2015PECOS EnrolledAccepts Medicare Assignment
221 OLIVER HEIGHTS RD, OWINGS MILLS, MD 21117(410) 718-3213(980) 500-1063 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy S Mallare NPPES

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

STACY S MALLARE (NPI 1639540420) is an individual psychiatric/mental health provider in Owings Mills, Maryland, licensed in Maryland (R186082) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639540420
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACY S MALLARE
Location Address221 OLIVER HEIGHTS RDOwings Mills, MD 21117-5074
Mailing Address9722 Groffs Mill Dr # 735Owings Mills, MD 21117-6341 · (410) 718-3213 · Fax (980) 500-1063
Phone(410) 718-3213
Fax(980) 500-1063
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 19, 2015
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1639540420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R186082
221 OLIVER HEIGHTS RD, Owings Mills, MD 21117
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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 and accepts Medicare assignment

Stacy S Mallare is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547569865
PECOS Enrollment IDI20251028004386
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 21117 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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 Stacy Mallare's NPI number?

The NPI number for Stacy Mallare is 1639540420. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Where is Stacy Mallare located?

Stacy Mallare practices at 221 Oliver Heights Rd, Owings Mills, MD 21117. The listed phone number is (410) 718-3213.

What is Stacy Mallare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacy Mallare enrolled in Medicare?

Yes. Stacy Mallare is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stacy Mallare was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.