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MRS. CLAUDETTE M MALLORY APRN
NPI 1679547442
Nurse Practitioner - Family in Macclenny, FL

Active since February 16, 2006PECOS Enrolled
92 W LOWDER ST, MACCLENNY, FL 32063(904) 259-0092(904) 259-0094 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2021, Dec 17, 2018, Nov 20, 2018 (3 updates tracked since 2018).

About Mrs. Claudette M Mallory Aprn NPPES

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

MRS. CLAUDETTE M MALLORY APRN (NPI 1679547442) is an individual family provider in Macclenny, Florida, licensed in Florida (APRN3174462) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1679547442
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CLAUDETTE M MALLORYCredential: APRN
Location Address92 W LOWDER STMacclenny, FL 32063-2676
Mailing Address92 W Lowder StMacclenny, FL 32063-2676 · (904) 259-0092 · Fax (904) 259-0094
Phone(904) 259-0092
Fax(904) 259-0094
Sole ProprietorNo
Enumeration DateFebruary 16, 2006
Last NPPES UpdateAugust 1, 20233 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1679547442 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 FL · APRN3174462
92 W LOWDER ST, Macclenny, FL 32063
Open in Google Maps ↗

Secondary Practice Location 1

Location 1836 Prudential Dr Ste 1103Jacksonville, FL 32207-8338 · Phone (904) 398-7654 · Fax (904) 398-0118

Other Identifiers 1

Medicaid770015600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Claudette M Mallory Aprn 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 32063 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 10

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

CRISTIN ELLIS
Case Manager/Care Coordinator
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
CAROLYN MCCRARY
Nurse's Aide
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
AMANDA JEAN BONDIE
Case Manager/Care Coordinator
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5615
LINDA ANN PARRISH LMFT
Marriage & Family Therapist
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (904) 259-1137
DEREK BAKARI MCKIBBEN
Case Manager/Care Coordinator
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5615
MERIDIAN BEHAVIORAL HEALTHCARE, INC.
Community/Behavioral Health
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5600
VONCEIL PARNELL LEVINE LCSW
Social Worker (Clinical)
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5615
JOSHUA KLEIN ALLEN
Counselor
92 W LOWDER ST
MACCLENNY, FL 32063
Baker County (352) 374-5615

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 Claudette Mallory's NPI number?

The NPI number for Claudette Mallory is 1679547442. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Claudette Mallory located?

Claudette Mallory practices at 92 W Lowder St, Macclenny, FL 32063. The listed phone number is (904) 259-0092.

What is Claudette Mallory's specialty?

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

Is Claudette Mallory enrolled in Medicare?

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

What insurance does Claudette Mallory accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Claudette Mallory 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 Claudette Mallory was last updated on August 1, 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.