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MALLORY LEEANN BROADAWAY APRN-CNP
NPI 1881023828
Nurse Practitioner - Psychiatric/Mental Health in Trumann, AR

Active since November 08, 2013PECOS Enrolled
1704 HIGHWAY 69 WEST, TRUMANN, AR 72472(870) 483-4003(870) 483-4009 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mallory Leeann Broadaway Aprn-cnp NPPES

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

MALLORY LEEANN BROADAWAY APRN-CNP (NPI 1881023828) is an individual psychiatric/mental health provider in Trumann, Arkansas, licensed in Arkansas (A003980) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881023828
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMALLORY LEEANN BROADAWAYCredential: APRN-CNP
Location Address1704 HIGHWAY 69 WESTTrumann, AR 72472-2029
Mailing Address1815 Pleasant Grove RoadJonesboro, AR 72401-7870 · (870) 933-6886 · Fax (870) 933-9395
Phone(870) 483-4003
Fax(870) 483-4009
Sole ProprietorNo
Enumeration DateNovember 8, 2013
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1881023828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · A003980
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A003980 (AR)
1704 HIGHWAY 69 WEST, Trumann, AR 72472
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Other Names 1

Other Name (5)Mallory Leeann Broadaway Cnp

Other Identifiers 2

Other5PA17AR · Bcbs
Medicaid201676758AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Leeann Broadaway Aprn-cnp 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 Broadaway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Families, Inc Of Arkansas
Same address
Mental Health (Including Community Mental Health Center)
1704 HIGHWAY 69 WEST
Trumann, AR 72472
  • Reassigned Medicare billing, Arkansas enrollment
  • 134 clinicians in this Medicare group
NPI 1457547168 (870) 483-4003
St. Bernards Hospital, Inc
11 mi
Obstetrics
4334 E HIGHLAND DR STE B
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 79 clinicians in this Medicare group
NPI 1518327287 (870) 207-0421

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 72472 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.

WADE DRURY LMSW
Social Worker
1704 HIGHWAY 69 WEST
TRUMANN, AR 72472
Poinsett County (870) 483-4003
FLOYD SHIVERS MHPP
Case Manager/Care Coordinator
1704 HIGHWAY 69 WEST
TRUMANN, AR 72472
Poinsett County (870) 483-4003
DEBRA HICKS MHPP
Case Manager/Care Coordinator
1704 HIGHWAY 69 WEST
TRUMANN, AR 72472
Poinsett County (870) 483-4003
FAMILIES, INC OF ARKANSAS
Clinic/Center (Mental Health (Including Community Mental Health Center))
1704 HIGHWAY 69 WEST
TRUMANN, AR 72472
Poinsett County (870) 483-4003
ASHLEY DESHAE MADDEN LCSW
Social Worker (Clinical)
1704 HIGHWAY 69 WEST
TRUMANN, AR 72472
Poinsett County (870) 483-4003
MS. TAMMY RENAY SMITH LPC
Counselor (Professional)
1704 HIGHWAY 69 WEST
TRUMANN, AR 72472
Poinsett County (870) 483-4003
SARAH KILGORE MHPP
Case Manager/Care Coordinator
1704 HIGHWAY 69 WEST
TRUMANN, AR 72472
Poinsett County (870) 483-4003
JOESPH ANDERSON MHPP
Case Manager/Care Coordinator
1704 HIGHWAY 69 WEST
TRUMANN, AR 72472
Poinsett County (870) 483-4003

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 Broadaway's NPI number?

The NPI number for Mallory Broadaway is 1881023828. It was assigned to this individual provider in the NPPES registry on November 8, 2013. The provider is also known as Mallory Leeann Broadaway Cnp.

Where is Mallory Broadaway located?

Mallory Broadaway practices at 1704 Highway 69 West, Trumann, AR 72472. The listed phone number is (870) 483-4003.

What is Mallory Broadaway's specialty?

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

Is Mallory Broadaway enrolled in Medicare?

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

Which organizations bill Medicare for Mallory Broadaway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Broadaway reassigns Medicare benefits to 2 organizations: Families, Inc Of Arkansas (Trumann, AR) and St. Bernards Hospital, Inc (Jonesboro, AR). 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 Broadaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Broadaway 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 3 other insurers list Mallory Broadaway 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 Mallory Broadaway was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.