MAGDALENA AGNIESZKA MALLOY APRN
NPI 1912491168
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Magdalena Malloy's NPI number?

The NPI number for Magdalena Malloy is 1912491168. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Magdalena Malloy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Magdalena Malloy was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment

3016 W CHARLESTON BLVD STE 150, LAS VEGAS, NV 89102(702) 790-2701(702) 993-4005 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 12, 2019, Jun 20, 2018 (2 updates tracked since 2018).

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About Magdalena Agnieszka Malloy Aprn NPPES

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

MAGDALENA AGNIESZKA MALLOY APRN (NPI 1912491168) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (RN80646) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Honolulu, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912491168

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMAGDALENA AGNIESZKA MALLOYCredential: APRN

Location Address3016 W CHARLESTON BLVD STE 150Las Vegas, NV 89102-1964

Mailing Address3016 W Charleston Blvd, Ste 150Las Vegas, NV 89102-1964 · (702) 290-2701

Phone(702) 790-2701

Fax(702) 993-4005

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 20, 2018

Last NPPES UpdateMarch 12, 20192 updates tracked since enumeration

✔ NPI 1912491168 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

Licenses✔ Licensed in NV · RN80646✔ Licensed in HI · APRN2443

3016 W CHARLESTON BLVD STE 150, Las Vegas, NV 89102

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Secondary Practice Location 1

Location 11330 Ala Moana Blvd Ste 1Honolulu, HI 96814-4262 · Phone (808) 585-1424

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Magdalena Agnieszka Malloy Aprn 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 ID2961743240

PECOS Enrollment IDI20190415002131, I20210119002827

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.

Areas of Expertise CMS Part B claims

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

31 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 20

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

CASTILLO PSYCHIATRY PLLC

Clinic/Center (Mental Health (Including Community Mental Health Center))