MALLORY SULLIVAN PA
NPI 1750689311
Physician Assistant in Providence, RI

NPI Status: Active since March 07, 2011

Contact Information

593 EDDY ST
PROVIDENCE, RI
ZIP 02903
Phone: (401) 519-1604
Fax: (401) 272-0538

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  • Individual
  • Female
  • Physician Assistant
  • PECOS Enrolled

About MALLORY SULLIVAN

This page provides the complete NPI Profile along with additional information for Mallory Sullivan, a primary care provider established in Providence, Rhode Island with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1750689311 assigned on March 2011. The practitioner's primary taxonomy code is 363A00000X with license number PA00585 (RI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1750689311
Provider Name
MALLORY SULLIVAN PA
Other Name
MALLORY SCHNARE
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
593 EDDY ST PROVIDENCE, RI 02903
Location Phone
(401) 519-1604
Location Fax
(401) 272-0538
Mailing Address
PO BOX 9484 PROVIDENCE, RI 02940
Mailing Phone
(401) 854-2500
Mailing Fax
(401) 272-0538
Is Sole Proprietor?
No
Enumeration Date
03-07-2011
Last Update Date
08-06-2013
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A primary care provider (PCP) like Mallory Sullivan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA00585
License State
RI
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
06-09-2011OTHER (01)RINHPRI
939025129OTHER (01)RIRI MEDICARE GROUP
0021394OTHER (01)RIRI MEDICARE
06-18-2011OTHER (01)RIBCBSRI
06012011OTHER (01)RIUNITED HEALTHCARE
MS84572MEDICAID (05)RI 

Medicare Participation & PECOS Enrollment Status

Mallory Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02903 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.48
  • Minimum New Patient Price $58.57
  • Maximum New Patient Price $177.03
  • Average New Patient Copayment $22.62
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.93
  • Minimum Established Patient Price $18.92
  • Maximum Established Patient Price $144.38
  • Average Established Patient Copayment $18.23
  • Minimum Established Patient Copayment $4.73
  • Maximum Established Patient Copayment $36.09

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MALLORY SULLIVAN PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750689311
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001281832
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 1 + 8 + 3 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1750689311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235134495DR. CHANDAN LAKHIANI MD
Individual
Pediatrics593 EDDY ST HASBRO LL
PROVIDENCE, RI 02903
(401) 444-4691
1215933908 RACHEL ALLISON ALTURA MD
Individual
Pediatrics (Pediatric Hematology-Oncology)593 EDDY ST HASBRO LL
PROVIDENCE, RI 02903
(401) 444-5241
1255338240 MOHAMMED FAIZAN M.D.
Individual
Pediatrics (Pediatric Nephrology)593 EDDY ST HASBRO 122
PROVIDENCE, RI 02903
(401) 444-6195
1477551992DR. PETER J QUESENBERRY MD
Individual
Internal Medicine (Hematology & Oncology)593 EDDY ST
PROVIDENCE, RI 02903
(401) 444-4830
1235138843DR. SUSAN L. PLANTE PHARM.D.
Individual
Pharmacist (Pharmacotherapy)593 EDDY ST PHARMACY SERVICES
PROVIDENCE, RI 02903
(401) 444-9075
1275533077 ZHANHONG MI CNP
Individual
Nurse Practitioner593 EDDY ST APC 456
PROVIDENCE, RI 02903
(401) 444-5545
1093707655 KEITH B SUNDERLIN PAC
Individual
Physician Assistant593 EDDY ST APC 4
PROVIDENCE, RI 02903
(401) 444-4000
1073500757DR. MARK E. MATTINGLY M.D.
Individual
Internal Medicine593 EDDY ST
PROVIDENCE, RI 02903
(401) 444-3985
1306837323MS. JO-ANN BERGERON POLSKY BS, MPH, RD
Individual
Nutritionist593 EDDY ST RHODE ISLAND HOSPITAL POB 334
PROVIDENCE, RI 02903
(401) 444-4422
1215919782DR. SUZANNE E MCLAUGHLIN M.D.
Individual
Internal Medicine593 EDDY ST POB-224 MED/PEDS CLINIC
PROVIDENCE, RI 02903
(401) 444-6118
1619950581DR. JAY M. BARUCH M.D.
Individual
Emergency Medicine593 EDDY ST
PROVIDENCE, RI 02903
(401) 519-1604
1083698575 ALI KAZIM M.D.
Individual
Psychiatry & Neurology (Forensic Psychiatry)593 EDDY ST RHODE ISLAND HOSPITAL
PROVIDENCE, RI 02903
(404) 444-4779
1750365797DR. KRISTIN LEE BRUNING MD
Individual
Psychiatry & Neurology (Psychiatry)593 EDDY ST APC 970
PROVIDENCE, RI 02903
(401) 444-4515
1013991926 HUMERA KHURSHID MD
Individual
Internal Medicine (Hematology & Oncology)593 EDDY ST APC MAIN
PROVIDENCE, RI 02903
(401) 444-5435
1407830334 THOMAS ALLEN ROESLER MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)593 EDDY ST PHYSICIAN'S OFFICE BLDG., # 122
PROVIDENCE, RI 02903
(401) 444-4515
1699750067 RICHARD C ARCHAMBAULT EDD
Individual
Marriage & Family Therapist593 EDDY ST POTTER 3
PROVIDENCE, RI 02903
(401) 444-3534
1679559371DR. CELIA MARIA LESCANO PHD
Individual
Psychologist (Clinical)593 EDDY ST APC 970
PROVIDENCE, RI 02903
(401) 444-8539
1467438184DR. ROBYN S MEHLENBECK PHD
Individual
Psychologist (Clinical Child & Adolescent)593 EDDY ST APC 970
PROVIDENCE, RI 02903
(401) 444-8638
1881679512 RENDUELES VILLALBA II MD
Individual
Psychiatry & Neurology (Psychiatry)593 EDDY ST POTTER 2
PROVIDENCE, RI 02903
(401) 444-2128
1386620466DR. HENRY R LESIEUR PSYD, PHD
Individual
Psychologist (Addiction (Substance Use Disorder))593 EDDY ST APC 970
PROVIDENCE, RI 02903
(401) 277-0700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750689311, enumerated in the NPI registry as an "individual" on March 07, 2011

The provider is located at 593 Eddy St Providence, Ri 02903 and the phone number is (401) 519-1604

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $90.48 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $72.93 and an average copayment of 18.23. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 07, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.