MALLORY R MUMMA ARNP
NPI 1801783402
Nurse Practitioner - Gerontology in Olympia, WA

Active since June 18, 2025PECOS EnrolledAccepts Medicare Assignment
209 LILLY RD NE STE B, OLYMPIA, WA 98506(360) 413-8250 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Aug 10, 2025, Jun 18, 2025 (3 updates tracked since 2025).

About Mallory R Mumma Arnp NPPES

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

MALLORY R MUMMA ARNP (NPI 1801783402) is an individual gerontology provider in Olympia, Washington, licensed in Washington (AP70030539) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801783402
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMALLORY R MUMMACredential: ARNP
Location Address209 LILLY RD NE STE BOlympia, WA 98506-5030
Mailing Address1203 Ebbets Dr SwTumwater, WA 98512-4606 · (503) 805-0845
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 18, 2025
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1801783402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in WA · AP70030539
Also ListedRegistered Nurse · GastroenterologyTaxonomy 163WG0100X · License 60412207 (WA)
209 LILLY RD NE STE B, Olympia, WA 98506

Accepted Insurance

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 R Mumma Arnp 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 ID1658871280
PECOS Enrollment IDI20250826004632
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 8

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

Internal Medicine (Gastroenterology)
209 LILLY RD NE STE B
OLYMPIA, WA 98506
Nurse Practitioner (Family)
209 LILLY RD NE STE B
OLYMPIA, WA 98506
Internal Medicine (Gastroenterology)
209 LILLY RD NE STE B
OLYMPIA, WA 98506
Internal Medicine (Gastroenterology)
209 LILLY RD NE STE B
OLYMPIA, WA 98506
Nurse Practitioner (Family)
209 LILLY RD NE STE B
OLYMPIA, WA 98506
Internal Medicine (Gastroenterology)
209 LILLY RD NE STE B
OLYMPIA, WA 98506
Physician Assistant
209 LILLY RD NE STE B
OLYMPIA, WA 98506
Internal Medicine (Gastroenterology)
209 LILLY RD NE STE B
OLYMPIA, WA 98506

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 Mumma's NPI number?

The NPI number for Mallory Mumma is 1801783402. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Mallory Mumma located?

Mallory Mumma practices at 209 Lilly Rd NE Ste B, Olympia, WA 98506. The listed phone number is (360) 413-8250.

What is Mallory Mumma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mallory Mumma enrolled in Medicare?

Yes. Mallory Mumma 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.

What insurance does Mallory Mumma accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mallory Mumma 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.

Is Mallory Mumma affiliated with any hospitals?

According to CMS data, Mallory Mumma is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Mallory Mumma was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.