MALLORY A GROSSMAN NP
NPI 1982082293
Nurse Practitioner - Family in Goshen, IN

Q: What is Mallory Grossman's NPI number?

The NPI number for Mallory Grossman is 1982082293. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Q: What is Mallory Grossman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Grossman was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment

2024 DORCHESTER CT STE 1, GOSHEN, IN 46526(574) 537-8326(574) 534-1034 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2023, Jan 12, 2021, Sep 29, 2015 (3 updates tracked since 2015).

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About Mallory A Grossman Np NPPES

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

MALLORY A GROSSMAN NP (NPI 1982082293) is an individual family provider in Goshen, Indiana, licensed in Indiana (71005825A) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Goshen Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1982082293

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMALLORY A GROSSMANCredential: NP

Location Address2024 DORCHESTER CT STE 1Goshen, IN 46526-6546

Mailing Address2024 Dorchester Ct Ste 1Goshen, IN 46526-6546

Phone(574) 537-8326

Fax(574) 534-1034

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 7, 2015

Last NPPES UpdateMarch 18, 20243 updates tracked since enumeration

NPPES CertifiedMarch 18, 2024

✔ NPI 1982082293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71005825A

2024 DORCHESTER CT STE 1, Goshen, IN 46526

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mallory A Grossman Np 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 ID7911216007

PECOS Enrollment IDI20151012000261

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.

Goshen Hospital

Acute Care Hospitals · Goshen, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150026

Location200 High Park AveGoshen, IN 46526 · Elkhart County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 7

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

MRS. AMBER KAEHR RDN

Dietitian, Registered