Mallory Ralph, FNP-C - Medicare Nurse Practitioner in Montgomery, OH

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Mallory Ralph, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Montgomery, Ohio. Her current practice location is 9600 Montgomery Rd Ste E, Montgomery, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 614-5420.

Mallory Ralph is licensed to practice in Ohio (license number APRN.CNP.0037492) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871320101.

Contact Information

Mallory Ralph, FNP-C
9600 Montgomery Rd Ste E,
Montgomery, OH 45242-7246
(513) 614-5420
Not Available

Map and Direction




Provider's Profile

Full NameMallory Ralph
GenderFemale
SpecialityNurse Practitioner - Family
Location9600 Montgomery Rd Ste E, Montgomery, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871320101
  • Provider Enumeration Date: 09/19/2024
  • Last Update Date: 08/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2769918242
  • Enrollment ID: I20241206002250

Medical Identifiers

Medical identifiers for Mallory Ralph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871320101NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.0037492 (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mallory Ralph allows following entities to bill medicare on her behalf.
Entity NameNorthern Kentucky Pain Relief Physical Medicine Center Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649554031
PECOS PAC ID: 3375718984
Enrollment ID: O20111209000501
Entity NameNeck Back & Knee Center Ii Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003593401
PECOS PAC ID: 3173960143
Enrollment ID: O20240326002712

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Ralph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mallory Ralph, FNP-C
9600 Montgomery Rd Ste E,
Montgomery, OH 45242-7246

Ph: (513) 614-5420		Mallory Ralph, FNP-C
9600 Montgomery Rd Ste E,
Montgomery, OH 45242-7246

Ph: (513) 614-5420

Reviews and Comments


Nurse Practitioner Nurses in Montgomery, OH

Taylor Smith, CNP
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Phone: 513-865-5167    Fax: 513-865-5175
Mrs. Rachel Lynn Derenski, CNP
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Practice Location: 10506a Montgomery Rd Ste 300, Montgomery, OH 45242
Phone: 513-865-5120    Fax: 513-246-4047
Mrs. Courtney Kissel, PMHNP-BC
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Practice Location: 10547 Montgomery Rd # 700, Montgomery, OH 45242
Phone: 888-830-0347    
Mrs. Erica Shawnta Mitchell, AGACNP- BC
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Medicare: Medicare Enrolled
Practice Location: 10600 Montgomery Rd Ste 300, Montgomery, OH 45242
Phone: 513-853-9250    Fax: 513-281-1908
Jeanna Marie Osborn, FNP-BC
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Medicare: Medicare Enrolled
Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242
Phone: 513-865-5050    
Deana M Roper, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242
Phone: 513-246-2342    
Mrs. Lauren Marie Janowak, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10506 Montgomery Rd Ste 304b, Montgomery, OH 45242
Phone: 513-853-9000    Fax: 513-624-2964

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.