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

MALLORI LEVENGOOD
NPI 1871185066
Nurse Practitioner - Psychiatric/Mental Health in Star City, AR

Active since February 09, 2021PECOS EnrolledAccepts Medicare Assignment
110 N DREW ST, STAR CITY, AR 71667(870) 628-5110(855) 854-6281 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Feb 9, 2021 (2 updates tracked since 2021).

About Mallori Levengood NPPES

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

MALLORI LEVENGOOD (NPI 1871185066) is an individual psychiatric/mental health provider in Star City, Arkansas, licensed in Arkansas (214790) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pine Bluff, and is a graduate of University Of Arkansas College Of Medicine (2020).

NPPES Registry Identity

NPI1871185066
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMALLORI LEVENGOOD
Location Address110 N DREW STStar City, AR 71667-5704
Mailing Address342 Highway 425 SMonticello, AR 71655-4612 · (870) 942-3000 · Fax (870) 942-3005
Fax(855) 854-6281
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2020
Enumeration DateFebruary 9, 2021
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1871185066 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 AR · 214790
110 N DREW ST, Star City, AR 71667

Secondary Practice Location 1

Location 12500 Rike DrPine Bluff, AR 71603-3937 · Phone (870) 718-4428

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallori Levengood 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 ID5698181667
PECOS Enrollment IDI20210317001483
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 Reassignments

4

Medicare enrollment records show Mallori Levengood reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2018 LADY JACK DRIVE
Warren, AR 71671
  • Reassigned Medicare billing, Arkansas enrollment
  • 63 clinicians in this Medicare group
Community/Behavioral Health
2500 RIKE DRIVE
Pine Bluff, AR 71603
  • Reassigned Medicare billing, Arkansas enrollment
  • 34 clinicians in this Medicare group
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Brightside Medical PC
  • 231 clinicians in this Medicare group
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 3422
San Francisco, CA 94131
  • Reassigned Medicare billing, Arkansas enrollment
  • 16 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services25 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71667 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 9

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

Social Worker (Clinical)
110 N DREW ST
STAR CITY, AR 71667
Clinic/Center (Federally Qualified Health Center (FQHC))
110 N DREW ST
STAR CITY, AR 71667
Nurse Practitioner (Family)
110 N DREW ST
STAR CITY, AR 71667
Nurse Practitioner
110 N DREW ST
STAR CITY, AR 71667
Family Medicine
110 N DREW ST
STAR CITY, AR 71667
Counselor (Mental Health)
110 N DREW ST
STAR CITY, AR 71667
Nurse Practitioner (Family)
110 N DREW ST
STAR CITY, AR 71667
Nurse Practitioner (Family)
110 N DREW ST
STAR CITY, AR 71667

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 Levengood's NPI number?

The NPI number for Mallori Levengood is 1871185066. It was assigned to this individual provider in the NPPES registry on February 9, 2021.

Where is Mallori Levengood located?

Mallori Levengood practices at 110 N Drew St, Star City, AR 71667. The listed phone number is (870) 628-5110.

What is Mallori Levengood's specialty?

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

Is Mallori Levengood enrolled in Medicare?

Yes. Mallori Levengood 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.

Which organizations bill Medicare for Mallori Levengood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallori Levengood reassigns Medicare benefits to 4 organizations: Mainline Health Systems, Inc (Warren, AR), Southeast Arkansas Behavioral Healthcare System Inc (Pine Bluff, AR), Brightside Medical, P.C. (San Francisco, CA) and Brightside Medical Of Michigan PC (San Francisco, CA). Each 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 Mallori Levengood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallori Levengood accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Mallori Levengood 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 Mallori Levengood was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.