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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MALLORI SHAMBLIN SMITH PA
NPI 1861381204
Physician Assistant in Lexington, KY

Active since July 01, 2025PECOS Enrolled
1099 DUVAL ST STE 100, LEXINGTON, KY 40515(859) 273-3888(859) 273-3256 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mallori Shamblin Smith Pa NPPES

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

MALLORI SHAMBLIN SMITH PA (NPI 1861381204) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (TC139) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861381204
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLORI SHAMBLIN SMITHCredential: PA
Location Address1099 DUVAL ST STE 100Lexington, KY 40515-6490
Mailing Address1099 Duval St Ste 100Lexington, KY 40515-6490 · (859) 273-3888 · Fax (859) 273-3256
Phone(859) 273-3888
Fax(859) 273-3256
Sole ProprietorNo
Enumeration DateJuly 1, 2025
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedJuly 1, 2025
✔ NPI 1861381204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · TC139
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.
1099 DUVAL ST STE 100, Lexington, KY 40515
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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 (PECOS)

Mallori Shamblin Smith Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40515 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 3

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

MARLEE MAXWELL PONDER PA-C
Physician Assistant
1099 DUVAL ST STE 100
LEXINGTON, KY 40515
Fayette County (859) 273-3888
DR. CAITLIN PANTER GRIFFIN D.O.
Family Medicine
1099 DUVAL ST STE 100
LEXINGTON, KY 40515
Fayette County (859) 273-3888
MR. TRUMELL STEVON IKARD APRN, FNP-C
Nurse Practitioner (Family)
1099 DUVAL ST STE 100
LEXINGTON, KY 40515
Fayette County (859) 273-3888

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 Mallori Smith's NPI number?

The NPI number for Mallori Smith is 1861381204. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Mallori Smith located?

Mallori Smith practices at 1099 Duval St Ste 100, Lexington, KY 40515. The listed phone number is (859) 273-3888.

What is Mallori Smith's specialty?

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

Is Mallori Smith enrolled in Medicare?

Yes. Mallori Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallori Smith was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.