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SHAHAUNA LATIA MALLERY PMHNP-BC
NPI 1861199184
Nurse Practitioner - Psychiatric/Mental Health in Chesapeake, VA

Active since February 08, 2023Opted out of Medicare · through May 30, 2027
238 BATTLEFIELD BLVD S STE 200, CHESAPEAKE, VA 23322(757) 330-2491(757) 974-0041 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Feb 10, 2023 (2 updates tracked since 2023).

About Shahauna Latia Mallery Pmhnp-bc NPPES

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

SHAHAUNA LATIA MALLERY PMHNP-BC (NPI 1861199184) is an individual psychiatric/mental health provider in Chesapeake, Virginia, licensed in Virginia (0024186470) and active in the NPI registry since February 2023. She has opted out of Medicare through May 30, 2027.

NPPES Registry Identity

NPI1861199184
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAHAUNA LATIA MALLERYCredential: PMHNP-BC
Location Address238 BATTLEFIELD BLVD S STE 200Chesapeake, VA 23322-5233
Mailing Address238 Battlefield Blvd S Ste 200Chesapeake, VA 23322-5233 · (757) 330-2491 · Fax (757) 974-0041
Phone(757) 330-2491
Fax(757) 974-0041
Sole ProprietorYes
Enumeration DateFebruary 8, 2023
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1861199184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024186470
238 BATTLEFIELD BLVD S STE 200, Chesapeake, VA 23322
Open in Google Maps ↗

Other Identifiers 2

Other0024186470VA · Virginia Department Of Health Professions
Other0001227876VA · Virginia Department Of Health Professions

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shahauna Latia Mallery Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 30, 2023 through May 30, 2027.

Opt-Out Effective DateMay 30, 2023
Opt-Out In Effect ThroughMay 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

KAYLA ROLAN LCSW
Social Worker (Clinical)
238 BATTLEFIELD BLVD S STE 200
CHESAPEAKE, VA 23322
Chesapeake City (757) 230-2439
MRS. JESSICA LYNN COMPTON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
238 BATTLEFIELD BLVD S STE 200
CHESAPEAKE, VA 23322
Chesapeake City (757) 330-2439
DAREAN ESTORIA POLK
Counselor (Mental Health)
238 BATTLEFIELD BLVD S STE 200
CHESAPEAKE, VA 23322
Chesapeake City (757) 330-2439
LAURA EDWARDS LPC
Counselor (Mental Health)
238 BATTLEFIELD BLVD S STE 200
CHESAPEAKE, VA 23322
Chesapeake City (757) 330-2439
CARSON HANNA LCSW
Social Worker (Clinical)
238 BATTLEFIELD BLVD S STE 200
CHESAPEAKE, VA 23322
Chesapeake City (757) 330-2439
KAYLA FIELDS
Social Worker (Clinical)
238 BATTLEFIELD BLVD S STE 200
CHESAPEAKE, VA 23322
Chesapeake City (317) 403-5452
MRS. HEATHER CODDINGTON LPC
Counselor (Mental Health)
238 BATTLEFIELD BLVD S STE 200
CHESAPEAKE, VA 23322
Chesapeake City (757) 755-7120

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 Shahauna Mallery's NPI number?

The NPI number for Shahauna Mallery is 1861199184. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Shahauna Mallery located?

Shahauna Mallery practices at 238 Battlefield Blvd S Ste 200, Chesapeake, VA 23322. The listed phone number is (757) 330-2491.

What is Shahauna Mallery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shahauna Mallery enrolled in Medicare?

No. Shahauna Mallery has opted out of Medicare through May 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shahauna Mallery accept?

Health plans from Providence Health Plan list Shahauna Mallery 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 Shahauna Mallery was last updated on August 25, 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.