MALLORI LEVENGOOD – Psychiatric/Mental Health Nurse Practitioner, NPI 1871185066

MALLORI LEVENGOOD is a healthcare provider. based in Pine bluff, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. 214790 (AR). The NPI Number for MALLORI LEVENGOOD is 1871185066

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MALLORI LEVENGOOD
NPI
1871185066
Phone
(870) 718-4428
Address
2500 RIKE DR
Enumeration Date
9 February 2021
Last Update Date
9 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8705341834
Graduation Year
2020 (6 years ago)
PAC ID
5698181667
Group Practice PAC ID
0042292674
Professional Enrollment ID
I20210317001483
Address ID
AR716033937PI2500XDRXX300
Telehealth
Yes

Contacts

Other Endpoint
https://sabhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MALLORI LEVENGOOD

  • 2500 RIKE DR

    PINE BLUFF, AR 716033937

    Phone: (870) 718-4428

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($259).

Total Amount

$437

General + Research + Ownership

Payments

23

Total payment records

General Amount

$437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210317001483INurse PractitionerARTBD
I20230807003981INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes16559$0
99214Established patient office or other outpatient visit, 30-39 minutes3519$0
90792Psychiatric diagnostic evaluation with medical services1818$0
View full utilization report →

Insurance plans in this area (ZIP 71603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042292674View full group profile
NameSpecialtyState
P S Y C H I A T R YAR
Clinical Social WorkerAR
Clinical Social WorkerAR
Clinical Social WorkerAR
Clinical Social WorkerLA
-AR
-AR
-AR
Clinical Social WorkerAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

What NPI should I save for MALLORI LEVENGOOD?
Save NPI 1871185066 if you need a stable reference for MALLORI LEVENGOOD.
Is MALLORI LEVENGOOD's NPI currently valid?
The extract we use shows MALLORI LEVENGOOD as active.
Can you summarize MALLORI LEVENGOOD's specialty in plain language?
Clinically, the directory lists MALLORI LEVENGOOD with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MALLORI LEVENGOOD?
The snapshot lists Pine Bluff, Arkansas for MALLORI LEVENGOOD; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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