PHILLIP A MALLORY (F.N.P.) – Nurse Practitioner, NPI 1508892696
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for PHILLIP A MALLORY (F.N.P.)
2881, East Richmond Avenue, Fresno, Fresno County, California, 93720, United States
FRESNO, CA 937204976
Phone: (209) 607-4953
Type: Mailing
West Hospital Road, French Camp, San Joaquin County, California, 95231, United States
FRENCH CAMP, CA 952319693
Phone: (209) 468-6300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040608000930 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 337 | 310 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 12 | 12 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 11 | 11 | $0 |
Insurance plans in this area (ZIP 93720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Internal Medicine | NM | |
| - | PA | |
| Family Practice | CA | |
| Hospitalist, Internal Medicine | TX | |
| Physician Assistant | NC | |
| Emergency Medicine, Family Practice, Hospitalist, Family Practice | NY | |
| Nurse Practitioner | CA |
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