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TAMMRA KAY MALLORY FNP-C
NPI 1750757076
Nurse Practitioner - Family in Indianapolis, IN

Active since August 20, 2015PECOS EnrolledAccepts Medicare Assignment
11027 BAYCREEK DR, INDIANAPOLIS, IN 46236(813) 730-8960 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Dec 3, 2025, Nov 20, 2025 and 3 more (6 updates tracked since 2017).

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

NPI1750757076
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMMRA KAY MALLORYCredential: FNP-C
Location Address11027 BAYCREEK DRIndianapolis, IN 46236-9101
Mailing Address885 3rd Ave Fl 28New York, NY 10022-4834 · (813) 730-8960 · Fax (929) 996-6230
Phone(813) 730-8960
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 20, 2015
Last NPPES UpdateFebruary 24, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1750757076 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
Licenses✔ Licensed in IN · 71007270A✔ Licensed in OH · 28237767A✔ Licensed in MO · 2023038564✔ Licensed in NM · 87047✔ Licensed in FL · APRN9497550✔ Licensed in MN · 10911✔ Licensed in TN · 40452✔ Licensed in KY · 4008679✔ Licensed in KS · 53-82580-082✔ Licensed in NY · 358318✔ Licensed in WA · 61654547✔ Licensed in WI · 14590-33✔ Licensed in IA · A176453✔ Licensed in NH · 116290-23✔ Licensed in IL · 209013163
11027 BAYCREEK DR, Indianapolis, IN 46236
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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 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.

PECOS PAC ID7214243211
PECOS Enrollment IDI20150908000878, I20250723001949, I20250814000349, I20260304003541, I20260310003149
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 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers32 claims32 services$4.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$70.02 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$32.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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 5 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.