MALLORY PATINO PA-C
NPI 1790206274
Physician Assistant - Medical in Newark, DE

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
80.62/100
CMS Quality Rating
324 E MAIN ST, NEWARK, DE 19711(302) 738-4300 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2024, Mar 10, 2022, Aug 25, 2020 and 2 more (5 updates tracked since 2017).

About Mallory Patino Pa-c NPPES

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

MALLORY PATINO PA-C (NPI 1790206274) is an individual medical provider in Newark, Delaware, licensed in Delaware (C5-0011878) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790206274
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALLORY PATINOCredential: PA-C
Location Address324 E MAIN STNewark, DE 19711-7150
Mailing Address324 E Main StNewark, DE 19711-7150 · (302) 738-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 5, 2017
Last NPPES UpdateDecember 4, 20245 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1790206274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in DE · C5-0011878 Licensed in PA · OA004186 Licensed in PA · MA059129
324 E MAIN ST, Newark, DE 19711

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 Patino Pa-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 ID2961829569
PECOS Enrollment IDI20260226000425
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.06
Promoting Interoperability80
Improvement Activities40
Cost63.03

Other Providers at the Same Location NPPES 15

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

Family Medicine
324 E MAIN ST, SUITE 202
NEWARK, DE 19711
Nurse Practitioner (Family)
324 E MAIN ST, SUITE 202
NEWARK, DE 19711
Emergency Medicine
324 E MAIN ST
NEWARK, DE 19711
Podiatrist
324 E MAIN ST, SUITE 201
NEWARK, DE 19711
Specialist
324 E MAIN ST, SUITE 202
NEWARK, DE 19711
Emergency Medicine
324 E MAIN ST
NEWARK, DE 19711
Surgery
324 E MAIN ST, SUITE 204
NEWARK, DE 19711
Nurse Practitioner (Family)
324 E MAIN ST, SUITE 202
NEWARK, DE 19711

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 Patino's NPI number?

The NPI number for Mallory Patino is 1790206274. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Mallory Patino located?

Mallory Patino practices at 324 E Main St, Newark, DE 19711. The listed phone number is (302) 738-4300.

What is Mallory Patino's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mallory Patino enrolled in Medicare?

Yes. Mallory Patino 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 Mallory Patino was last updated on December 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.