MRS. MALLORY WATHEN LYNCH (APRN) – Family Nurse Practitioner, NPI 1720508120
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
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Provider Addresses for MRS. MALLORY WATHEN LYNCH (APRN)
PO BOX 909
LOUISVILLE, KY 402010909
Phone: (502) 588-0330
Type: Mailing
Hillcrest Drive, Eastwood Hills, Brandenburg, Meade County, Kentucky, 40108, United States
BRANDENBURG, KY 401081415
Phone: (270) 422-4111
Fax: (270) 422-3629
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $1,511.
Total Amount is formed as General ($1,511) + Research ($0) + Ownership ($0) = $1,511.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: PFIZER INC. ($275).
Total Amount
$1,511
General + Research + Ownership
Payments
80
Total payment records
General Amount
$1,511
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $275 |
| ABBVIE INC. | $199 |
| GlaxoSmithKline, LLC. | $139 |
| Novo Nordisk Inc | $86 |
| Exact Sciences Corporation | $74 |
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: 2017-07-06
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 |
|---|---|---|---|---|
| I20170706001222 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 337 | 218 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 277 | 199 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 244 | 185 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 212 | 150 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 111 | 55 | $0 |
Insurance plans in this area (ZIP 40201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| O P H T H A L M O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
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