Tammra Kay Mallory, FNP-C - Medicare Nurse Practitioner in Indianapolis, IN

Tammra Kay Mallory, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Indianapolis, Indiana. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ivy Medical Group Pllc, Ivy Medical Group Pllc and her current practice location is 11027 Baycreek Dr, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (813) 730-8960.

Tammra Kay Mallory is licensed to practice in Indiana (license number 71007270A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750757076.

Contact Information

Tammra Kay Mallory, FNP-C
11027 Baycreek Dr,
Indianapolis, IN 46236-9101
(813) 730-8960
Not Available

Map and Direction




Provider's Profile

Full NameTammra Kay Mallory
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location11027 Baycreek Dr, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tammra Kay Mallory graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1750757076
  • Provider Enumeration Date: 08/20/2015
  • Last Update Date: 12/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7214243211
  • Enrollment ID: I20150908000878

Medical Identifiers

Medical identifiers for Tammra Kay Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750757076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71007270A (Indiana)Primary
363LF0000XNurse Practitioner - Family 28237767A (Ohio)Secondary
363LF0000XNurse Practitioner - Family 2023038564 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 883653 (Nevada)Secondary
363LF0000XNurse Practitioner - Family APRN9497550 (Florida)Secondary
363LF0000XNurse Practitioner - Family 10911 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family 40452 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 358318 (New York)Secondary
363LF0000XNurse Practitioner - Family 4008679 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family 53-82580-082 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 61654547 (Washington)Secondary
363LF0000XNurse Practitioner - Family 14590-33 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family A176453 (Iowa)Secondary
363LF0000XNurse Practitioner - Family 116290-23 (New Hampshire)Secondary
363LF0000XNurse Practitioner - Family 209013163 (Illinois)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ivy Medical Group Pllc498109779796
Ivy Medical Group Pllc498109779796

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. Tammra Kay Mallory allows following entities to bill medicare on her behalf.
Entity NameHospice Of Kankakee Valley, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811935240
PECOS PAC ID: 4486601184
Enrollment ID: O20051104000312

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. Tammra Kay Mallory 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
Tammra Kay Mallory, FNP-C
11027 Baycreek Dr,
Indianapolis, IN 46236-9101

Ph: (813) 730-8960
Tammra Kay Mallory, FNP-C
11027 Baycreek Dr,
Indianapolis, IN 46236-9101

Ph: (813) 730-8960

Reviews and Comments


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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.