MALLORY ANDRZEJAK
NPI 1790347672
Nurse Practitioner - Family in Getzville, NY

Q: What is Mallory Andrzejak's NPI number?

The NPI number for Mallory Andrzejak is 1790347672. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Q: What is Mallory Andrzejak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mallory Andrzejak was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment

55 DODGE RD, GETZVILLE, NY 14068(716) 831-2700 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 13, 2021, Jan 8, 2020, Jul 2, 2019 (3 updates tracked since 2019).

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About Mallory Andrzejak NPPES

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

MALLORY ANDRZEJAK (NPI 1790347672) is an individual family provider in Getzville, New York, licensed in New York (F345270-01) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of State University Of New York At Buffalo School Of Medicine (2019).

NPPES Registry Identity

NPI1790347672

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMALLORY ANDRZEJAK

Location Address55 DODGE RDGetzville, NY 14068-1205

Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-2700

Phone(716) 831-2700

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2019

Enumeration DateJuly 1, 2019

Last NPPES UpdateOctober 13, 20213 updates tracked since enumeration

NPPES CertifiedOctober 13, 2021

✔ NPI 1790347672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F345270-01

Also ListedRegistered NurseTaxonomy 163W00000X · License 672613 (NY)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 345270 (NY)

55 DODGE RD, Getzville, NY 14068

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Secondary Practice Location 1

Location 1Elm and Carlton StBuffalo, NY 14263-1426 · Phone (716) 845-2300

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 Andrzejak 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 ID345670006

PECOS Enrollment IDI20200420002618

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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

149 services85 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

59 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14068 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

EMILY BROOKS WARREN MSW

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