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

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: October 18, 2026.

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

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
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

Accepted Insurance

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Mallory Washington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 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.

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.

Pediatrics (Pediatric Cardiology)
848 ADAMS AVE
MEMPHIS, TN 38103
Pediatrics (Pediatric Critical Care Medicine)
848 ADAMS AVE
MEMPHIS, TN 38103
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Nurse Practitioner (Neonatal, Critical Care)
848 ADAMS AVE
MEMPHIS, TN 38103
Nurse Practitioner (Pediatrics)
848 ADAMS AVE
MEMPHIS, TN 38103
Speech-Language Pathologist
848 ADAMS AVE
MEMPHIS, TN 38103
Dietitian, Registered (Nutrition, Pediatric)
848 ADAMS AVE
MEMPHIS, TN 38103

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 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.

Where is Mallory Washington located?

Mallory Washington practices at 848 Adams Ave, Memphis, TN 38103. The listed phone number is (901) 287-5437.

What is Mallory Washington's specialty?

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

Is Mallory Washington enrolled in Medicare?

Yes. Mallory Washington 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 Washington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Washington reassigns Medicare benefits to Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). 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 Washington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Washington accept?

Health plans from Cigna Healthcare list Mallory Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Washington was last updated on October 25, 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.