MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP) – Family Nurse Practitioner, NPI 1104280312

MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP) is a healthcare provider. based in Runnemede, New Jersey. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 26NJ00627600 (NJ). The NPI Number for MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP) is 1104280312

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP)
NPI
1104280312
Phone
(866) 389-2727
Address
824 N Black Horse Pike
Enumeration Date
13 April 2016
Last Update Date
31 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2015 (11 years ago)
PAC ID
8820388457
Group Practice PAC ID
8527142439
Professional Enrollment ID
I20160609001039
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP)

  • 824 N Black Horse Pike

    Runnemede, NJ 080781034

    Phone: (866) 389-2727

    Type: Location

  • 360 Route 73 S

    Marlton, NJ 080532004

    Phone: (856) 596-7010

    Type: Location

  • 360 ROUTE 73 S

    MARLTON, NJ 080532004

    Phone: (866) 389-2727

    Type: Location

  • Lincoln Avenue, West Collingswood Heights, Haddon, Haddon Township, Camden County, New Jersey, 08059, United States

    WEST COLLINGSWOOD HEIGHTS, NJ 080591819

    Phone: (609) 330-1726

    Type: Mailing

  • 1500 SPRUCE ST

    PHILADELPHIA, PA 191024502

    Phone: (866) 389-2727

    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.

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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
G0008Administration of influenza virus vaccine2828$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2626$0
99213Established patient office or other outpatient visit, 20-29 minutes2222$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1313$0
View full utilization report →

Insurance plans in this area (ZIP 08078)

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Provider's Procedures

MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERNJ90670Pneumococcal vaccine for injection into muscle1111

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: 8527142439View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP) for billing?
Administrative and clinical systems typically use NPI 1104280312 for MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP).
Is MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP) currently accepting referrals based on NPI status?
Registry metadata lists MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP) as active.
How should patients interpret MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP)'s specialty?
The extract shows Family Nurse Practitioner for MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP). Clinical services aligned with this taxonomy classification.
Can patients visit MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP) in Runnemede, New Jersey?
For routing, start with Runnemede, New Jersey for MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP), then verify phone and hours locally.
Who maintains MRS. STEPHANIE CHRISTINE MALLGRAVE (CRNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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