MS. MALLORY BURKE (PA) – Physician Assistant, NPI 1134779812

MS. MALLORY BURKE (PA) is a healthcare provider. based in Lakeland, Florida. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA9112457 (FL). The NPI Number for MS. MALLORY BURKE (PA) is 1134779812

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. MALLORY BURKE (PA)
NPI
1134779812
Phone
(863) 680-7214
Address
1600 LAKELAND HILLS BLVD
Enumeration Date
16 September 2019
Last Update Date
18 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636807000
Graduation Year
2019 (7 years ago)
PAC ID
9739511718
Group Practice PAC ID
1456258979
Professional Enrollment ID
I20191112003377

Contacts

Secure Messaging
mbastian18602@direct.watsonclinicad.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MS. MALLORY BURKE (PA)

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053065

    Phone: (863) 680-7214

    Fax: (866) 264-8519

    Type: Location

  • 5422 BAYSHORE BLVD

    TAMPA, FL 336114122

    Phone:

    Type: Mailing

  • 1 TAMPA GENERAL CIR

    TAMPA, FL 336063571

    Phone: (813) 844-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $568.

Total Amount is formed as General ($568) + Research ($0) + Ownership ($0) = $568.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Boston Scientific Corporation ($123).

Total Amount

$568

General + Research + Ownership

Payments

15

Total payment records

General Amount

$568

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,58424$0
99214Established patient office or other outpatient visit, 30-39 minutes13598$0
20610Aspiration and/or injection of fluid from large joint13288$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13085$0
99213Established patient office or other outpatient visit, 20-29 minutes12092$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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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: 1456258979View full group profile
NameSpecialtyState
Internal MedicineFL
A N E S T H E S I O L O G YFL
-FL
Physical Therapist In Private PracticeFL
Pulmonary Disease, Internal MedicineFL
-FL
Nurse PractitionerFL
Emergency MedicineFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference MS. MALLORY BURKE (PA)?
For MS. MALLORY BURKE (PA), use NPI 1134779812 as the unique 10-digit identifier.
Active or inactive — what applies to MS. MALLORY BURKE (PA)?
You should see MS. MALLORY BURKE (PA) as active in CMS-hosted NPPES data.
How would a patient describe MS. MALLORY BURKE (PA)'s focus?
For MS. MALLORY BURKE (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MS. MALLORY BURKE (PA) located near Lakeland?
MS. MALLORY BURKE (PA) currently maps to Lakeland, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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