MALLORY BROWN (AGNP-C) – Nurse Practitioner, NPI 1275390817

MALLORY BROWN (AGNP-C) is a healthcare provider. based in Stephenville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. 1097434 (TX). The NPI Number for MALLORY BROWN (AGNP-C) is 1275390817

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY BROWN (AGNP-C)
NPI
1275390817
Phone
(903) 278-0560
Address
9025 COUNTY ROAD 417
Enumeration Date
29 February 2024
Last Update Date
29 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2549686051
Graduation Year
2022 (4 years ago)
PAC ID
4981046588
Group Practice PAC ID
7214840867
Professional Enrollment ID
I20240529000483
Address ID
TX764011803ST160XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MALLORY BROWN (AGNP-C)

  • 9025 COUNTY ROAD 417

    STEPHENVILLE, TX 76401

    Phone: (903) 278-0560

    Type: Mailing

  • 150 RIVER NORTH BLVD

    STEPHENVILLE, TX 764011860

    Phone: (254) 968-6051

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Exact Sciences Corporation ($18).

Total Amount

$125

General + Research + Ownership

Payments

8

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-29

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
I20240529000483INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76401)

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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: 7214840867View full group profile
NameSpecialtyState
Physician AssistantTX
Internal MedicineTX
-TX
Nurse PractitionerTX
General Surgery, Colorectal Surgery (Proctology)TX
O P H T H A L M O L O G YTX
Nurse PractitionerTX
-TX
-TX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

Can I cross-check MALLORY BROWN (AGNP-C) using NPI 1275390817?
NPI 1275390817 belongs to MALLORY BROWN (AGNP-C); compare other details if you need extra assurance.
Active or inactive — what applies to MALLORY BROWN (AGNP-C)?
You should see MALLORY BROWN (AGNP-C) as active in CMS-hosted NPPES data.
What expertise is attributed to MALLORY BROWN (AGNP-C)?
MALLORY BROWN (AGNP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MALLORY BROWN (AGNP-C) located near Stephenville?
MALLORY BROWN (AGNP-C) currently maps to Stephenville, Texas in this extract.
When was this NPI issued?
Enumeration for MALLORY BROWN (AGNP-C) is noted as February 29, 2024 where the registry provides it.

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