TAMMRA KAY MALLORY FNP-C
NPI 1750757076
Nurse Practitioner - Family in Indianapolis, IN
About Tammra Kay Mallory Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMMRA KAY MALLORY FNP-C (NPI 1750757076) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71007270A) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tammra Kay Mallory Fnp-c 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.
Medicare Billing Reassignments
9Medicare enrollment records show Tammra Mallory reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 28 clinicians in this Medicare group
Brownsburg, IN 46112
- Reassigned Medicare billing, Indiana enrollment
- 146 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Daniel Funsch Jr MD PC
- 124 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida and Kentucky enrollments
- 42 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida, Illinois, Indiana, Missouri, New Hampshire, Ohio and Washington enrollments
- 89 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida, Illinois, Indiana, Kentucky, Missouri, New Hampshire, Ohio, Pennsylvania and Washington enrollments
- 92 clinicians in this Medicare group
Milton, FL 32583
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- 5 clinicians in this Medicare group
Miami, FL 33162
- Reassigned Medicare billing, Florida, Illinois, Indiana, Missouri, New Hampshire, New York, Ohio and Washington enrollments
- 115 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Tammra Mallory's NPI number?
The NPI number for Tammra Mallory is 1750757076. It was assigned to this individual provider in the NPPES registry on August 20, 2015.
Where is Tammra Mallory located?
Tammra Mallory practices at 11027 Baycreek Dr, Indianapolis, IN 46236. The listed phone number is (813) 730-8960.
What is Tammra Mallory's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tammra Mallory enrolled in Medicare?
Yes. Tammra Mallory 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.
Which organizations bill Medicare for Tammra Mallory's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammra Mallory reassigns Medicare benefits to 9 organizations: Paradigm Living Concepts, LLC (Indianapolis, IN), Indiana University Health Urgent Care Centers, LLC (Brownsburg, IN), Daniel Funsch Jr, M.D., P.C. (New York, NY), Dr Medical Services PC (New York, NY), Dr Rebman Bh LLC (New York, NY) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammra Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tammra Mallory accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Tammra 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 Tammra Mallory was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Tammra Kay Mallory, FNP-C · NPI 1750757076
Family physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since August 20, 2015.
## Identity
- **NPI:** 1750757076 (Entity type: Individual)
- **Enumerated:** August 20, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71007270A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11027 BAYCREEK DR, Indianapolis, IN 46236-9101
- **Phone:** (813) 730-8960
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Paradigm Living Concepts, LLC (NPI 1679194773, Indianapolis, IN); Indiana University Health Urgent Care Centers, LLC (NPI 1114302965, Brownsburg, IN); Daniel Funsch Jr, M.D., P.C. (NPI 1316784580, New York, NY); Dr Medical Services PC (NPI 1053012401, New York, NY); Dr Rebman Bh LLC (NPI 1114894540, New York, NY); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750757076) · Data from the CMS NPPES public registry.