MALORI NEWBURY FNP-C
NPI 1760120562
Nurse Practitioner - Family in Sesser, IL

Active since May 23, 2022PECOS EnrolledAccepts Medicare Assignment
6294 STATE HIGHWAY 154, SESSER, IL 62884(618) 625-6979(618) 625-6549 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, May 5, 2025, May 23, 2022 (3 updates tracked since 2022).

About Malori Newbury Fnp-c NPPES

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

MALORI NEWBURY FNP-C (NPI 1760120562) is an individual family provider in Sesser, Illinois, licensed in Illinois (209025220) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760120562
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALORI NEWBURYCredential: FNP-C
Location Address6294 STATE HIGHWAY 154Sesser, IL 62884-2163
Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2401 · Fax (618) 724-8792
Fax(618) 625-6549
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 23, 2022
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1760120562 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 IL · 209025220
6294 STATE HIGHWAY 154, Sesser, IL 62884

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

Malori Newbury 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 ID6002297165
PECOS Enrollment IDI20220720002300
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62884 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

Dentist
6294 STATE HIGHWAY 154
SESSER, IL 62884
Nurse Practitioner (Family)
6294 STATE HIGHWAY 154
SESSER, IL 62884
Licensed Practical Nurse
6294 STATE HIGHWAY 154
SESSER, IL 62884
Dental Hygienist
6294 STATE HIGHWAY 154
SESSER, IL 62884
Registered Nurse
6294 STATE HIGHWAY 154
SESSER, IL 62884
Clinic/Center (Federally Qualified Health Center (FQHC))
6294 STATE HIGHWAY 154
SESSER, IL 62884
Registered Nurse
6294 STATE HIGHWAY 154
SESSER, IL 62884
Physician Assistant (Surgical)
6294 STATE HIGHWAY 154
SESSER, IL 62884

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 Malori Newbury's NPI number?

The NPI number for Malori Newbury is 1760120562. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Malori Newbury located?

Malori Newbury practices at 6294 State Highway 154, Sesser, IL 62884. The listed phone number is (618) 625-6979.

What is Malori Newbury's specialty?

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

Is Malori Newbury enrolled in Medicare?

Yes. Malori Newbury 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.

Is Malori Newbury affiliated with any hospitals?

According to CMS data, Malori Newbury is affiliated with Good Samaritan Regional Hlth Center, Memorial Hospital Of Carbondale and Franklin Hospital.

When was this NPI record last updated?

The NPPES record for Malori Newbury was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.