MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) – Family Nurse Practitioner, NPI 1124411749

MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) is a healthcare provider. based in Sand springs, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP-FAMILY. They hold a License No. 92345 (OK). The NPI Number for MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) is 1124411749

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY)
NPI
1124411749
Phone
(918) 215-5100
Address
514 PLAZA CT
Enumeration Date
6 March 2015
Last Update Date
12 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182095170
Graduation Year
2015 (11 years ago)
PAC ID
8628385333
Group Practice PAC ID
9234254012
Professional Enrollment ID
I20150914000390
Address ID
OK741377427TU9645XPKWY301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY)

  • 514 PLAZA CT

    SAND SPRINGS, OK 740637915

    Phone: (918) 215-5100

    Fax: (918) 215-5105

    Type: Location

  • 3345 S Harvard Ave Ste 201

    Tulsa, OK 741351809

    Phone: (918) 748-8111

    Fax: (918) 744-5284

    Type: Location

  • 1205 W Main St

    Collinsville, OK 740213114

    Phone: (918) 215-5100

    Fax: (918) 215-5105

    Type: Location

  • 9645 Riverside Pkwy Ste C

    Tulsa, OK 741377427

    Phone: (918) 209-5170

    Fax: (918) 209-5187

    Type: Location

  • 9101 S Toledo Ave Ste B

    Tulsa, OK 741372719

    Phone: (918) 392-3444

    Fax: (918) 392-3469

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $1,665.

Total Amount is formed as General ($1,665) + Research ($0) + Ownership ($0) = $1,665.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Corium, LLC ($287).

Total Amount

$1,665

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,665

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2015-09-14

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
I20150914000390INurse PractitionerOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8349$0
36415Insertion of needle into vein for collection of blood sample7643$0
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
81003Automated urinalysis test1614$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 74063)

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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: 9234254012View full group profile
NameSpecialtyState
Family PracticeOK
-OK
Plastic And Reconstructive SurgeryOK
-OK
Pulmonary DiseaseAK
Pulmonary Disease, Internal MedicineOK
Family PracticeOK
Family PracticeOK
Nurse PractitionerOK
Family PracticePA

Reviews

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Frequently asked questions

Is there an official ID for MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) in U.S. healthcare records?
The official identifier for MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) is NPI 1124411749.
Is MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) shown as active in public data?
Registry records indicate MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) maintains an active NPI.
What kind of doctor is MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY)?
MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) associated with Sand Springs?
Public fields place MRS. MALLORY DAYLE WHITE (APRN, CNP-FAMILY) around Sand Springs, Oklahoma. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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