MALLORY CRENSHAW
NPI 1992538623
Nurse Practitioner - Pediatrics, Critical Care in Memphis, TN

Q: What is Mallory Crenshaw's NPI number?

The NPI number for Mallory Crenshaw is 1992538623. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Q: What is Mallory Crenshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Crenshaw was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 20, 2024PECOS EnrolledAccepts Medicare Assignment

848 ADAMS AVE, MEMPHIS, TN 38103(901) 287-5437 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mallory Crenshaw NPPES

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

MALLORY CRENSHAW (NPI 1992538623) is an individual pediatrics, critical care provider in Memphis, Tennessee, licensed in Tennessee (36925) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2024).

NPPES Registry Identity

NPI1992538623

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameMALLORY CRENSHAW

Location Address848 ADAMS AVEMemphis, TN 38103-2816

Mailing Address3619 Neyland CvCollierville, TN 38017-3603

Phone(901) 287-5437

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2024

Enumeration DateAugust 20, 2024

Last NPPES UpdateAugust 23, 2024

NPPES CertifiedAugust 23, 2024

✔ NPI 1992538623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in TN · 36925

848 ADAMS AVE, Memphis, TN 38103

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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 Crenshaw 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 ID8527598747

PECOS Enrollment IDI20250203003690

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 38103 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

GLENN T WETZEL MD

Pediatrics (Pediatric Cardiology)