ALYSSA ANN MALLARD DNP/FNP
NPI 1639971823
Nurse Practitioner in Conover, NC

Q: What is Alyssa Mallard's NPI number?

The NPI number for Alyssa Mallard is 1639971823. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Alyssa Mallard'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 Alyssa Mallard was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2025PECOS EnrolledAccepts Medicare Assignment

305 1ST ST E, CONOVER, NC 28613(828) 464-3821 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2025, Jun 23, 2025, Mar 26, 2025 (3 updates tracked since 2025).

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About Alyssa Ann Mallard Dnp/fnp NPPES

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

ALYSSA ANN MALLARD DNP/FNP (NPI 1639971823) is an individual nurse practitioner in Conover, North Carolina, licensed in North Carolina (5022454) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639971823

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameALYSSA ANN MALLARDCredential: DNP/FNP

Location Address305 1ST ST EConover, NC 28613-1715

Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074

Phone(828) 464-3821

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 26, 2025

Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1639971823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5022454

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 337035 (NC)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5022454 (NC)

305 1ST ST E, Conover, NC 28613

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Alyssa Ann Mallard Dnp/fnp 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 ID4587165519

PECOS Enrollment IDI20250829003808

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340143

Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28613 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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Other Providers at the Same Location NPPES 12

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

BRIANNA IDALIS MORALES PA-C

Physician Assistant