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

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: November 08, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Magdalena Malloy reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anywhere Clinic LLC
2.9 mi
Psychiatry
4029 DEAN MARTIN DR
Las Vegas, NV 89103
  • Reassigned Medicare billing, Nevada enrollment
  • 19 clinicians in this Medicare group
NPI 1316460850 (702) 848-2256
Lindsay L Wray Psyd Comprehensive Psychological Services PLLC
12 mi
Psychologist
880 SEVEN HILLS DR STE 200
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 7 clinicians in this Medicare group
NPI 1619732385 (323) 391-4228
Oasis Counseling LLC
12 mi
Mental Health
2219 HIGH MESA DR
Henderson, NV 89012
  • Reassigned Medicare billing, Nevada enrollment
  • 52 clinicians in this Medicare group
NPI 1336400951 (414) 617-5056
Universal Psychiatry LLC
14 mi
Psychiatric/Mental Health
18 HOLSTON HILLS RD
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
NPI 1104445394 (034) 760-4416
Access Telecare, PLLC
1,073 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Illinois enrollment
  • 115 clinicians in this Medicare group
NPI 1013303080 (972) 449-0540
Forefront-Rosenzweig Medical Services Professional Corporation
1,073 mi
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Illinois enrollment
  • 34 clinicians in this Medicare group
NPI 1588101745 (972) 449-0540
Mental Health Specialty Group PA
2,019 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Nevada enrollment
  • 77 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

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))
3016 W CHARLESTON BLVD STE 150
LAS VEGAS, NV 89102
Clark County (702) 790-2701
DR. KRISTA LINN PINARD M.D.
Psychiatry & Neurology (Psychiatry)
3016 W CHARLESTON BLVD STE 150
LAS VEGAS, NV 89102
Clark County (702) 790-2701
PUJA JAITLY PSY.D.
Psychologist (Clinical)
3016 W CHARLESTON BLVD STE 150
LAS VEGAS, NV 89102
Clark County (414) 737-6500
TRAILWAYS INVESTMENTS LLC
Community/Behavioral Health
3016 W CHARLESTON BLVD STE 150
LAS VEGAS, NV 89102
Clark County (702) 371-7970
ANNEISE MOCK
Rehabilitation Practitioner
3016 W CHARLESTON BLVD STE 150
LAS VEGAS, NV 89102
Clark County (909) 524-7929
ANJENA GILL MD
Psychiatry & Neurology (Psychiatry)
3016 W CHARLESTON BLVD STE 150
LAS VEGAS, NV 89102
Clark County (702) 790-2701
NOEL DIAO
Nurse Practitioner (Psychiatric/Mental Health)
3016 W CHARLESTON BLVD STE 150
LAS VEGAS, NV 89102
Clark County (702) 790-2701
MS. MIEYA DONTEYA MONSON
Technician (Personal Care Attendant)
3016 W CHARLESTON BLVD STE 150
LAS VEGAS, NV 89102
Clark County (702) 371-7970

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 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.

Where is Magdalena Malloy located?

Magdalena Malloy practices at 3016 W Charleston Blvd Ste 150, Las Vegas, NV 89102. The listed phone number is (702) 790-2701.

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.

Is Magdalena Malloy enrolled in Medicare?

Yes. Magdalena Malloy 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 Magdalena Malloy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Magdalena Malloy reassigns Medicare benefits to 7 organizations: Anywhere Clinic LLC (Las Vegas, NV), Lindsay L Wray Psyd Comprehensive Psychological Services PLLC (Henderson, NV), Oasis Counseling LLC (Henderson, NV), Universal Psychiatry LLC (Henderson, NV), Access Telecare, PLLC (Dallas, TX) and 2 more organizations, listed in the Medicare section above. 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 Magdalena Malloy'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 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.