LISA MALLARD APRN, CNM
NPI 1891847869
Advanced Practice Midwife in Lexington, KY

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
170 N EAGLE CREEK DR STE 104, LEXINGTON, KY 40509(859) 967-5848(859) 967-5473 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2026, Dec 14, 2022, Nov 15, 2019 (3 updates tracked since 2019).

About Lisa Mallard Aprn, Cnm NPPES

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

LISA MALLARD APRN, CNM (NPI 1891847869) is an individual advanced practice midwife in Lexington, Kentucky, licensed in Kentucky (3009349) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Florida College Of Medicine (2000).

NPPES Registry Identity

NPI1891847869
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLISA MALLARDCredential: APRN, CNM
Location Address170 N EAGLE CREEK DR STE 104Lexington, KY 40509-9087
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835
Fax(859) 967-5473
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2000
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1891847869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses✔ Licensed in KY · 3009349✔ Licensed in FL · ARNP 2157582
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
170 N EAGLE CREEK DR STE 104, Lexington, KY 40509

Secondary Practice Locations 2

Location 1100 Brewster BlvdCamp Lejeune, NC 28547 · Phone (910) 449-2741
Location 2501 NW Lake Whitney Pl, Suite 106Port Saint Lucie, FL 34986-1615 · Phone (772) 785-8000 · Fax (772) 785-8150

Other Identifiers 1

Medicaid7100503870KY

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

Lisa Mallard Aprn, Cnm 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 ID5496014136
PECOS Enrollment IDI20180125002105
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 Reassignment

Medicare enrollment records show Lisa Mallard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1401 HARRODSBURG RD
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 250 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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 8

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

Nurse Practitioner (Family)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Physician Assistant (Surgical)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Physician Assistant (Surgical)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509

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 Lisa Mallard's NPI number?

The NPI number for Lisa Mallard is 1891847869. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Lisa Mallard located?

Lisa Mallard practices at 170 N Eagle Creek Dr Ste 104, Lexington, KY 40509. The listed phone number is (859) 967-5848.

What is Lisa Mallard's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lisa Mallard enrolled in Medicare?

Yes. Lisa Mallard 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 organization bills Medicare for Lisa Mallard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mallard reassigns Medicare benefits to Kentuckyone Health Medical Group, Inc. (Lexington, KY). The 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 Lisa Mallard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Mallard accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Mallard 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 Lisa Mallard was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.