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MALLORY RALPH FNP-C
NPI 1871320101
Nurse Practitioner - Family in Montgomery, OH

Active since September 19, 2024PECOS Enrolled
9600 MONTGOMERY RD STE E, MONTGOMERY, OH 45242(513) 614-5420 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mallory Ralph Fnp-c NPPES

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

MALLORY RALPH FNP-C (NPI 1871320101) is an individual family provider in Montgomery, Ohio, licensed in Ohio (APRN.CNP.0037492) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871320101
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY RALPHCredential: FNP-C
Location Address9600 MONTGOMERY RD STE EMontgomery, OH 45242-7246
Mailing Address9600 Montgomery Rd Ste EMontgomery, OH 45242-7246 · (513) 614-5420
Phone(513) 614-5420
Sole ProprietorNo
Enumeration DateSeptember 19, 2024
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1871320101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0037492
9600 MONTGOMERY RD STE E, Montgomery, OH 45242
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Ralph Fnp-c 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 Reassignments

2

Medicare enrollment records show Mallory Ralph reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neck Back & Knee Center II Psc
22 mi
Nurse Practitioner
7560 US HIGHWAY 42
Florence, KY 41042
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 clinicians in this Medicare group
NPI 1003593401 (859) 242-5909
Northern Kentucky Pain Relief Physical Medicine Center Psc
22 mi
Nurse Practitioner
7560 US HWY 42
Florence, KY 41042
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1649554031 (859) 283-2475

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 45242 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Mallory Ralph's NPI number?

The NPI number for Mallory Ralph is 1871320101. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Mallory Ralph located?

Mallory Ralph practices at 9600 Montgomery Rd Ste E, Montgomery, OH 45242. The listed phone number is (513) 614-5420.

What is Mallory Ralph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallory Ralph enrolled in Medicare?

Yes. Mallory Ralph is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mallory Ralph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Ralph reassigns Medicare benefits to 2 organizations: Neck Back & Knee Center II Psc (Florence, KY) and Northern Kentucky Pain Relief Physical Medicine Center Psc (Florence, KY). 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 Mallory Ralph'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 Mallory Ralph was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.