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MALLORY LYNN OBRIEN
NPI 1821845769
Physician Assistant in Savage, MN

Active since April 30, 2024PECOS EnrolledAccepts Medicare Assignment
13389 ELAINE CT, SAVAGE, MN 55378(612) 360-7054 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory Lynn Obrien NPPES

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

MALLORY LYNN OBRIEN (NPI 1821845769) is an individual physician assistant in Savage, Minnesota and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821845769
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLORY LYNN OBRIEN
Location Address13389 ELAINE CTSavage, MN 55378-2457
Mailing Address13389 Elaine CtSavage, MN 55378-2457 · (612) 360-7054
Phone(612) 360-7054
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1821845769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13389 ELAINE CT, Savage, MN 55378
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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

Mallory Lynn Obrien 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 ID5991274524
PECOS Enrollment IDI20260513001926
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.

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55378 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 Mallory Obrien's NPI number?

The NPI number for Mallory Obrien is 1821845769. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Mallory Obrien located?

Mallory Obrien practices at 13389 Elaine Ct, Savage, MN 55378. The listed phone number is (612) 360-7054.

What is Mallory Obrien's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mallory Obrien enrolled in Medicare?

Yes. Mallory Obrien 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.

Is Mallory Obrien affiliated with any hospitals?

According to CMS data, Mallory Obrien is affiliated with Ridgeview Medical Center.

When was this NPI record last updated?

The NPPES record for Mallory Obrien was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.