Active NPI
Mallory Welter Scelfo, FNP-C
- Family Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 228816
- Practice address
- 206 Wanderlust CT
Johnson City, TN 37604-3248 - Phone
- (228) 860-7831
- NPI assigned
- Feb 5, 2024
- Last updated
- Jun 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NU | ||
| Family Nurse Practitioner | 363LF0000X | 228816 | OK | Primary |
Addresses
Primary practice location
206 Wanderlust CT
Johnson City, TN 37604-3248
Mailing address
206 Wanderlust CT
Johnson City, TN 37604-3248
Phone (228) 860-7831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Associates, P.a. | Current | Accepting new patients | |
| Allergy Associates, PA | Current | Accepting new patients | |
| Leconte Radiology PC | Past | Accepting new patients | |
| Allergy Associates, PA | Past | Accepting new patients |
Locations
1410 Tusculum Blvd
Ste 2300
Greeneville, TN 37745
Phone (423) 823-5190
2428 Knob Creek Rd
Ste 102
Johnson City, TN 37604
Phone (423) 794-1074
1 Sheridan Sq
Ste 104
Kingsport, TN 37660
Phone (423) 251-4441
6701 Baum Dr
Ste 140
Knoxville, TN 37919
801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 584-8589
7560 Dannaher Dr
Ste 100
Powell, TN 37849
Phone (800) 600-7551
Organizations & group practices 4
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.
-
dba The Allergy, Asthma & Sinus Center
- Specialist
- Knoxville, TN
- NPI 1073508347
-
dba The Allergy Asthma and Sinus Center
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1932566734
-
- Specialist
- Greeneville, TN
- NPI 1972743060
-
- Diagnostic Radiology Physician
- Maryville, TN
- NPI 1447210109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1467215285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 WANDERLUST CT",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376043248",
"telephone_number": "228-860-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 WANDERLUST CT",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376043248",
"telephone_number": "228-860-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCELFO",
"first_name": "MALLORY",
"middle_name": "WELTER",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "228816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.