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MALLORY ELIZABETH CUSUMANO NP
NPI 1740797398
Nurse Practitioner in Chesterfield, MO

Active since January 04, 2018PECOS EnrolledAccepts Medicare Assignment
224 S WOODS MILL RD STE 330S, CHESTERFIELD, MO 63017(143) 576-7013(314) 576-4047 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2025, Apr 13, 2023, May 22, 2018 and 1 more (4 updates tracked since 2018).

About Mallory Elizabeth Cusumano Np NPPES

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

MALLORY ELIZABETH CUSUMANO NP (NPI 1740797398) is an individual nurse practitioner in Chesterfield, Missouri, licensed in Missouri (2018004643) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740797398
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALLORY ELIZABETH CUSUMANOCredential: NP
Location Address224 S WOODS MILL RD STE 330SChesterfield, MO 63017-3497
Mailing Address301 Baker AveWebster Groves, MO 63119-3735 · (636) 236-5602
Phone(143) 576-7013
Fax(314) 576-4047
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 4, 2018
Last NPPES UpdateMay 20, 20254 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1740797398 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 MO · 2018004643
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 ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 2018004643 (MO)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
224 S WOODS MILL RD STE 330S, Chesterfield, MO 63017
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Other Names 1

Former Name (1)Mallory Elizabeth Bates

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, UnitedHealthcare.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 Elizabeth Cusumano Np 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 ID2668733205
PECOS Enrollment IDI20180222002884
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 8

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
35 services34 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
21 services21 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
17 services17 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
14 services13 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
14 services14 patients
Shaving of part of shoulder bone and repair of ligament using an endoscope 29826
This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 4

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

DR. BRIAN WEGMAN M.D.
Orthopaedic Surgery
224 S WOODS MILL RD STE 330S
CHESTERFIELD, MO 63017
St. Louis County (314) 576-7013
TIMOTHY G LANG MD
Orthopaedic Surgery
224 S WOODS MILL RD STE 330S
CHESTERFIELD, MO 63017
St. Louis County (314) 576-7013
RICHARD DOUGLAS RAMES M.D.
Orthopaedic Surgery
224 S WOODS MILL RD STE 330S
CHESTERFIELD, MO 63017
St. Louis County (314) 576-7013
DR. ADAM RAMMACHER DPM
Podiatrist (Foot & Ankle Surgery)
224 S WOODS MILL RD STE 330S
CHESTERFIELD, MO 63017
St. Louis County (314) 576-7013

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 Cusumano's NPI number?

The NPI number for Mallory Cusumano is 1740797398. It was assigned to this individual provider in the NPPES registry on January 4, 2018. The provider is also known as Mallory Elizabeth Bates.

Where is Mallory Cusumano located?

Mallory Cusumano practices at 224 S Woods Mill Rd Ste 330S, Chesterfield, MO 63017. The listed phone number is (143) 576-7013.

What is Mallory Cusumano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mallory Cusumano enrolled in Medicare?

Yes. Mallory Cusumano 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 Cusumano accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company and UnitedHealthcare list Mallory Cusumano 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.

Is Mallory Cusumano affiliated with any hospitals?

According to CMS data, Mallory Cusumano is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Mallory Cusumano was last updated on May 20, 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.