Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MALLORY WENDY MADDEN PERA
NPI 1942145537
Nurse Practitioner in Roseville, CA

Active since April 21, 2026PECOS EnrolledAccepts Medicare Assignment
3 MEDICAL PLAZA DR STE 200, ROSEVILLE, CA 95661(916) 773-8750 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 18, 2026, Apr 21, 2026 (2 updates tracked since 2026).

About Mallory Wendy Madden Pera NPPES

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

MALLORY WENDY MADDEN PERA (NPI 1942145537) is an individual nurse practitioner in Roseville, California, licensed in California (NP95040260) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roseville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1942145537
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALLORY WENDY MADDEN PERA
Location Address3 MEDICAL PLAZA DR STE 200Roseville, CA 95661-3088
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 21, 2026
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1942145537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP95040260
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3 MEDICAL PLAZA DR STE 200, Roseville, CA 95661

Other Names 1

Other Name (5)Mallory Wendy Madden

Secondary Practice Location 1

Location 11 Medical Plaza DrRoseville, CA 95661-3037 · Phone (916) 781-1000

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

Mallory Wendy Madden Pera 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 ID8921563800
PECOS Enrollment IDI20260721003831
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Madden Pera's NPI number?

The NPI number for Mallory Madden Pera is 1942145537. It was assigned to this individual provider in the NPPES registry on April 21, 2026. The provider is also known as Mallory Wendy Madden.

Where is Mallory Madden Pera located?

Mallory Madden Pera practices at 3 Medical Plaza Dr Ste 200, Roseville, CA 95661. The listed phone number is (916) 773-8750.

What is Mallory Madden Pera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mallory Madden Pera enrolled in Medicare?

Yes. Mallory Madden Pera 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.

When was this NPI record last updated?

The NPPES record for Mallory Madden Pera was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.