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OLGA MALLICOAT FNP
NPI 1821514738
Nurse Practitioner in Morristown, TN

Active since August 22, 2017PECOS Enrolled
1082 SHADOW WOOD LN, MORRISTOWN, TN 37814(423) 312-0864 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 16, 2018, Aug 22, 2017 (2 updates tracked since 2017).

About Olga Mallicoat Fnp NPPES

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

OLGA MALLICOAT FNP (NPI 1821514738) is an individual nurse practitioner in Morristown, Tennessee, licensed in Tennessee (23052) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821514738
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameOLGA MALLICOATCredential: FNP
Location Address1082 SHADOW WOOD LNMorristown, TN 37814-8010
Mailing Address1082 Shadow Wood LnMorristown, TN 37814-8010
Phone(423) 312-0864
Sole ProprietorYes
Enumeration DateAugust 22, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1821514738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 23052
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1082 SHADOW WOOD LN, Morristown, TN 37814
Open in Google Maps ↗

Other Identifiers 1

Other23052TN · Aprn License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olga Mallicoat Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Olga Mallicoat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gipson Specialty Center, PLLC
372 mi
Pain Medicine
6005 PARK AVE, SUITE 400
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment
  • 3 clinicians in this Medicare group
NPI 1477754505 (901) 767-9500

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 37814 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.

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 Olga Mallicoat's NPI number?

The NPI number for Olga Mallicoat is 1821514738. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Olga Mallicoat located?

Olga Mallicoat practices at 1082 Shadow Wood Ln, Morristown, TN 37814. The listed phone number is (423) 312-0864.

What is Olga Mallicoat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Olga Mallicoat enrolled in Medicare?

Yes. Olga Mallicoat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olga Mallicoat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olga Mallicoat reassigns Medicare benefits to Gipson Specialty Center, PLLC (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 Olga Mallicoat'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 Olga Mallicoat was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.