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JULIE MALLORY NP
NPI 1740506575
Nurse Practitioner - Family in Modesto, CA

Active since April 19, 2010PECOS Enrolled
1300 MABLE AVE STE 2, MODESTO, CA 95355(209) 448-3000(209) 273-2722 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2025, Jan 25, 2021 (2 updates tracked since 2021).

About Julie Mallory Np NPPES

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

JULIE MALLORY NP (NPI 1740506575) is an individual family provider in Modesto, California, licensed in California (19415) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740506575
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJULIE MALLORYCredential: NP
Location Address1300 MABLE AVE STE 2Modesto, CA 95355-1120
Mailing AddressPo Box 1462Hughson, CA 95326-1462 · (209) 448-3000 · Fax (209) 273-2722
Phone(209) 448-3000
Fax(209) 273-2722
Sole ProprietorNo
Enumeration DateApril 19, 2010
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1740506575 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 CA · 19415
1300 MABLE AVE STE 2, Modesto, CA 95355
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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 (PECOS)

Julie Mallory Np 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 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 2

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

SUE C SCHOONOVER PAC
Physician Assistant
1300 MABLE AVE STE 2
MODESTO, CA 95355
Stanislaus County (209) 448-3000
NORCAL PAIN TREATMENT CENTER CORP.
Clinic/Center
1300 MABLE AVE STE 2
MODESTO, CA 95355
Stanislaus County (209) 448-3000

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 Julie Mallory's NPI number?

The NPI number for Julie Mallory is 1740506575. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Julie Mallory located?

Julie Mallory practices at 1300 Mable Ave Ste 2, Modesto, CA 95355. The listed phone number is (209) 448-3000.

What is Julie Mallory's specialty?

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

Is Julie Mallory enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Julie Mallory was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.