MALLORY ANDRZEJAK
NPI 1790347672
Nurse Practitioner - Family in Getzville, NY
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
Specialties & Licenses 3
Secondary Practice Location 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mallory Andrzejak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Buffalo, NY 14263
- Reassigned Medicare billing, New York enrollment
- 602 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.
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.
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.
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.
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 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.
Where is Mallory Andrzejak located?
Mallory Andrzejak practices at 55 Dodge Rd, Getzville, NY 14068. The listed phone number is (716) 831-2700.
What is Mallory Andrzejak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mallory Andrzejak enrolled in Medicare?
Yes. Mallory Andrzejak 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 organization bills Medicare for Mallory Andrzejak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Andrzejak reassigns Medicare benefits to Roswell Park Cancer Institute (Buffalo, NY). The 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 Mallory Andrzejak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Mallory Andrzejak · NPI 1790347672
Family physician in Getzville, New York. Individual provider, active in the CMS NPPES registry since July 1, 2019.
## Identity
- **NPI:** 1790347672 (Entity type: Individual)
- **Enumerated:** July 1, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F345270-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 DODGE RD, Getzville, NY 14068-1205
- **Phone:** (716) 831-2700
## 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:** Roswell Park Cancer Institute (NPI 1720036593, Buffalo, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** October 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790347672) · Data from the CMS NPPES public registry.