Individual provider Active NPI

Mallory Michelle Trayer, FNP

  • Family Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1033868963
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183625 Issued in VA
Practice address
1830 Plaza Dr
Winchester, VA 22601-6365
Phone
(540) 665-8414
NPI assigned
Mar 18, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024183625 VA Primary
Family Nurse Practitioner 363LF0000X AC004393 MD

Addresses

Primary practice location

1830 Plaza Dr
Winchester, VA 22601-6365

Mailing address

1830 Plaza Dr
Winchester, VA 22601-6365
Phone (540) 665-8414

Other practice location 1

13620 Crayton Blvd Ste A
Hagerstown, MD 21742-2335
Phone (240) 313-3100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mtrayer@rejuvalase.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260105003168 MD Practitioner - Nurse Practitioner 7810367000 Reassigns benefits to 1 organization
I20260203003153 VA Practitioner - Nurse Practitioner 7810367000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Urgent Care LLCGroup PAC ID 2163582974, 41 clinicians

Practice addresses (Care Compare)

13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (240) 313-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC004393MDMDFamily Nurse Practitioner
0024183625VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Urgent Care, LLC CurrentSince Dec 23, 2025 Accepting new patients
Capital Women's Care, L.L.C. CurrentSince Jan 1, 2026 Accepting new patients
Meritus Urgent Care LLC CurrentSince Dec 23, 2025 Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Capital Women's Care, L.L.C. Past Accepting new patients

Locations

13620 Crayton Blvd
Ste A
Hagerstown, MD 21742
Phone (240) 313-3100

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

17301 Valley Mall Rd
Ste 125
Hagerstown, MD 21740
Phone (301) 790-9236

46179 Westlake Dr
Ste 240
Potomac Falls, VA 20165
Phone (703) 368-1969

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mtrayer@rejuvalase.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1033868963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 PLAZA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016365",
            "telephone_number": "540-665-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 PLAZA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016365",
            "telephone_number": "540-665-8414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13620 Crayton Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422335",
            "country_code": "US",
            "telephone_number": "240-313-3100",
            "fax_number": "240-313-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAYER",
        "first_name": "MALLORY",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183625",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC004393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mtrayer@rejuvalase.com",
            "affiliation": "N",
            "address_1": "2761 Jefferson Davis Hwy Ste 201",
            "city": "Stafford",
            "state": "VA",
            "country_code": "US",
            "postal_code": "225548329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.