MRS. MALLORY ELISE COWAN AGACNP-BC,FNP-C
NPI 1922515576
Nurse Practitioner - Acute Care in Houston, TX

Q: What is Mallory Cowan's NPI number?

The NPI number for Mallory Cowan is 1922515576. It was assigned to this individual provider in the NPPES registry on January 4, 2018. The provider is also known as Ms. Mallory Elise Lightford Agacnp-Bc,fnp-C.

Q: What is Mallory Cowan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Cowan was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 04, 2018PECOS EnrolledAccepts Medicare Assignment

6411 FANNIN ST, HOUSTON, TX 77030(713) 704-6586 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Mallory Elise Cowan Agacnp-bc,fnp-c NPPES

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

MRS. MALLORY ELISE COWAN AGACNP-BC,FNP-C (NPI 1922515576) is an individual acute care provider in Houston, Texas, licensed in Texas (850960) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1922515576

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. MALLORY ELISE COWANCredential: AGACNP-BC,FNP-C

Location Address6411 FANNIN STHouston, TX 77030-1501

Mailing Address7600 Kirby Dr Apt 555Houston, TX 77030-4481 · (901) 503-7913

Phone(713) 704-6586

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 4, 2018

Last NPPES UpdateMarch 24, 2023

NPPES CertifiedMarch 24, 2023

✔ NPI 1922515576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 850960

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 850960 (TX)

6411 FANNIN ST, Houston, TX 77030

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Other Names 1

Former Name (1)Ms. Mallory Elise Lightford Agacnp-bc,fnp-c

Accepted Insurance

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

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

Mrs. Mallory Elise Cowan Agacnp-bc,fnp-c 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 ID2860855814

PECOS Enrollment IDI20230824000871

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

HASHIM ZAIDI M.D.

Emergency Medicine