MALLORY ALEXIS FREEMAN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1255009056

MALLORY ALEXIS FREEMAN (APRN) is a healthcare provider. based in East hartford, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 10018 (CT). The NPI Number for MALLORY ALEXIS FREEMAN (APRN) is 1255009056

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY ALEXIS FREEMAN (APRN)
NPI
1255009056
Phone
(860) 348-5650
Address
9 ARNOLD DR
Enumeration Date
6 September 2021
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035293271
Graduation Year
2021 (5 years ago)
PAC ID
2567850928
Group Practice PAC ID
9739663105
Professional Enrollment ID
I20211104000523
Address ID
CT064773506OR521XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for MALLORY ALEXIS FREEMAN (APRN)

  • 9 ARNOLD DR

    EAST HARTFORD, CT 061082909

    Phone: (860) 348-5650

    Fax: (860) 855-7708

    Type: Mailing

  • 1224 MILL ST

    EAST BERLIN, CT 060231159

    Phone: (860) 348-5650

    Fax: (860) 855-7708

    Type: Location

  • 121 LURTON ST

    NEW BRITAIN, CT 060531307

    Phone: (203) 212-7592

    Type: Mailing

  • 444 CENTER ST

    MANCHESTER, CT 060403926

    Phone: (860) 646-3888

    Fax: (860) 645-4132

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($37).

Total Amount

$74

General + Research + Ownership

Payments

4

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-11-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211104000523INurse PractitionerCTTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1311$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 06108)

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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: 9739663105View full group profile
NameSpecialtyState
Physician AssistantCT
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
Physician AssistantTN

Reviews

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Frequently asked questions

Can I cross-check MALLORY ALEXIS FREEMAN (APRN) using NPI 1255009056?
NPI 1255009056 belongs to MALLORY ALEXIS FREEMAN (APRN); compare other details if you need extra assurance.
Is there an active status for MALLORY ALEXIS FREEMAN (APRN)?
For scheduling context, MALLORY ALEXIS FREEMAN (APRN) is shown as active in the registry.
What clinical focus is listed for MALLORY ALEXIS FREEMAN (APRN)?
At a glance, MALLORY ALEXIS FREEMAN (APRN) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MALLORY ALEXIS FREEMAN (APRN)?
Directory geography for MALLORY ALEXIS FREEMAN (APRN) centers on East Hartford, Connecticut.
When was this NPI issued?
Enumeration for MALLORY ALEXIS FREEMAN (APRN) is noted as September 6, 2021 where the registry provides it.

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