MALLORY BOYLE CRNP, RN
NPI 1669187902
Nurse Practitioner - Family in Philadelphia, PA

Active since January 20, 2023PECOS EnrolledAccepts Medicare Assignment
822 PINE ST, PHILADELPHIA, PA 19107(267) 519-0154 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2023, May 30, 2023, Jan 20, 2023 (3 updates tracked since 2023).

About Mallory Boyle Crnp, Rn NPPES

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

MALLORY BOYLE CRNP, RN (NPI 1669187902) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027836) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669187902
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY BOYLECredential: CRNP, RN
Location Address822 PINE STPhiladelphia, PA 19107-6187
Mailing Address9 Virginia AveHaddon Township, NJ 08108-2316 · (856) 904-9753
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 20, 2023
Last NPPES UpdateJuly 18, 20233 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1669187902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in PA · SP027836 Licensed in NJ · 26NJ01457800
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR22832300 (NJ), RN685967 (PA)
822 PINE ST, Philadelphia, PA 19107

Secondary Practice Location 1

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (215) 590-1000

Accepted 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

Mallory Boyle Crnp, Rn 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 ID6002270063
PECOS Enrollment IDI20230911001814
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 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
356 services56 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.
108 services81 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
104 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
85 services85 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
83 services72 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
51 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

Dermatology (MOHS-Micrographic Surgery)
822 PINE ST, SUITE 2A
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Neurology)
822 PINE ST, SUITE 1A
PHILADELPHIA, PA 19107
Internal Medicine (Rheumatology)
822 PINE ST, SUITE 3A
PHILADELPHIA, PA 19107
Specialist
822 PINE ST, SUITE 4B
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Psychiatry)
822 PINE ST, ST. REGIS COURT, SUITE 1B
PHILADELPHIA, PA 19107
Internal Medicine (Rheumatology)
822 PINE ST, STE 3A
PHILADELPHIA, PA 19107
Counselor
822 PINE ST, SUITE 2B-5
PHILADELPHIA, PA 19107
Internal Medicine (Rheumatology)
822 PINE ST, SUITE 3A
PHILADELPHIA, PA 19107

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 Boyle's NPI number?

The NPI number for Mallory Boyle is 1669187902. It was assigned to this individual provider in the NPPES registry on January 20, 2023.

Where is Mallory Boyle located?

Mallory Boyle practices at 822 Pine St, Philadelphia, PA 19107. The listed phone number is (267) 519-0154.

What is Mallory Boyle's specialty?

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

Is Mallory Boyle enrolled in Medicare?

Yes. Mallory Boyle 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.

What insurance does Mallory Boyle accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mallory Boyle 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 Boyle was last updated on July 18, 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.