NPIMap

Individual provider Active NPI

Wendy E Mallory, NP

  • Family Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1255824108
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176200 Issued in VA
Practice address
8262 Atlee Rd Ste 201
Mechanicsville, VA 23116-1816
Phone
(804) 764-7220
Fax
(804) 764-6212
NPI assigned
Jun 14, 2018
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024176200 VA Primary

Addresses

Primary practice location

8262 Atlee Rd Ste 201
Mechanicsville, VA 23116-1816

Mailing address

PO Box 639992
Cincinnati, OH 45263-9992

Other practice location 1

7255 Hanover Green Dr
Mechanicsville, VA 23111-1706
Phone (804) 730-1111

Other identifiers 1

IdentifierTypeStateIssuer
1255824108OtherVALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mechanicsville Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190111000146 VA Practitioner - Nurse Practitioner 3072859016 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Richmond Heart and Vascular AssociatesGroup PAC ID 4385039718, 23 clinicians

Practice addresses (Care Compare)

5875 Bremo Rd
Suite 712
Richmond, VA 23226-1928
Phone (804) 288-8900

8243 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone (804) 800-6600

8262 Atlee Rd
Suite 201
Mechanicsville, VA 23116-1816
Phone (804) 764-7220

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Apr 7, 2024 Accepting new patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Apr 7, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Richmond Heart and Vascular Associates CurrentSince Nov 15, 2025 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

8262 Atlee Rd
Ste 201
Mechanicsville, VA 23116
Phone (804) 325-8720

8243 Meadowbridge Rd
Mechanicsvlle, VA 23116
Phone (804) 730-1481

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25854/brand/4/csg/1/fhir/r4
  • Direct secure messaging: wmallory2538453@direct.bsmhealth.org

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1255824108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639992",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8262 ATLEE RD STE 201",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161816",
            "telephone_number": "804-764-7220",
            "fax_number": "804-764-6212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7255 Hanover Green Dr",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231111706",
            "country_code": "US",
            "telephone_number": "804-730-1111",
            "fax_number": "804-730-9764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "WENDY",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1255824108",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mechanicsville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7255 Hanover Green Dr",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231111706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.