DR. MALLORY WASHINGTON DNP, RN, CCRN
NPI 1801412283
Nurse Practitioner - Pediatrics in Memphis, TN

Q: What is Mallory Washington's NPI number?

The NPI number for Mallory Washington is 1801412283. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Q: What is Mallory Washington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since June 22, 2020PECOS EnrolledAccepts Medicare Assignment

848 ADAMS AVE, MEMPHIS, TN 38103(901) 287-5437 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 22, 2021, Jun 22, 2020 (2 updates tracked since 2020).

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About Dr. Mallory Washington Dnp, Rn, Ccrn NPPES

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

DR. MALLORY WASHINGTON DNP, RN, CCRN (NPI 1801412283) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (29568) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2020).

NPPES Registry Identity

NPI1801412283

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameDR. MALLORY WASHINGTONCredential: DNP, RN, CCRN

Location Address848 ADAMS AVEMemphis, TN 38103-2816

Mailing Address1287 Island Harbor DrMemphis, TN 38103-8998 · (662) 473-7347

Phone(901) 287-5437

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2020

Enumeration DateJune 22, 2020

Last NPPES UpdateOctober 25, 20212 updates tracked since enumeration

NPPES CertifiedOctober 25, 2021

✔ NPI 1801412283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in TN · 29568

Also ListedRegistered NurseTaxonomy 163W00000X · License 220086 (TN)

848 ADAMS AVE, Memphis, TN 38103

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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

Dr. Mallory Washington Dnp, Rn, Ccrn 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 ID446648109

PECOS Enrollment IDI20211028002774

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 38103 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

GLENN T WETZEL MD

Pediatrics (Pediatric Cardiology)