Individual provider

Tammra Mallory, FNP-C

Family Nurse Practitioner Medicare enrolled

Tammra Mallory, FNP-C is a Family Nurse Practitioner in Indianapolis, IN, registered under NPI 1750757076. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 11027 BAYCREEK DR, Indianapolis, IN 46236. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11027 BAYCREEK DR, Indianapolis, IN 46236 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
71007270A IN Family Nurse Practitioner primary
28237767A OH Family Nurse Practitioner
2023038564 MO Family Nurse Practitioner
87047 NM Family Nurse Practitioner
APRN9497550 FL Family Nurse Practitioner
10911 MN Family Nurse Practitioner
40452 TN Family Nurse Practitioner
4008679 KY Family Nurse Practitioner
53-82580-082 KS Family Nurse Practitioner
358318 NY Family Nurse Practitioner
61654547 WA Family Nurse Practitioner
14590-33 WI Family Nurse Practitioner
A176453 IA Family Nurse Practitioner
116290-23 NH Family Nurse Practitioner
209013163 IL Family Nurse Practitioner

Licences are recorded in 15 states: IN, OH, MO, NM, FL, MN, TN, KY, KS, NY, WA, WI, IA, NH, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
7214243211

Enrolled in Medicare 11 times, across 11 states:

StateEnrollment IDProvider type
Illinois I20150908000878 Practitioner - Nurse Practitioner
Indiana I20170823001857 Practitioner - Nurse Practitioner
Iowa I20240821004440 Practitioner - Nurse Practitioner
Florida I20250723001949 Practitioner - Nurse Practitioner
Missouri I20250723002565 Practitioner - Nurse Practitioner
Ohio I20250814000349 Practitioner - Nurse Practitioner
Kentucky I20250915001335 Practitioner - Nurse Practitioner
New York I20260304003369 Practitioner - Nurse Practitioner
New Hampshire I20260304003541 Practitioner - Nurse Practitioner
Pennsylvania I20260310003149 Practitioner - Nurse Practitioner
Washington I20260622003494 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 11 separate enrolment records across 11 states (IL, IN, IA, FL, MO, OH, KY, NY, NH, PA, WA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 15 states

This provider holds licences in 15 states: Florida, Iowa, Illinois, Indiana, Kansas, Kentucky, Minnesota, Missouri, New Hampshire, New Mexico, New York, Ohio, Tennessee, Washington and Wisconsin. The practice address on file is in Indianapolis, IN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida
Licence
APRN9497550
Specialty
Family Nurse Practitioner
Verify with the FL board →
IA Iowa
Licence
A176453
Specialty
Family Nurse Practitioner
Verify with the IA board →
IL Illinois
Licence
209013163
Specialty
Family Nurse Practitioner
Verify with the IL board →
IN Indiana practice address
Licence
71007270A
Specialty
Family Nurse Practitioner
Verify with the IN board →
KS Kansas
Licence
53-82580-082
Specialty
Family Nurse Practitioner
Verify with the KS board →
KY Kentucky
Licence
4008679
Specialty
Family Nurse Practitioner
Verify with the KY board →
MN Minnesota
Licence
10911
Specialty
Family Nurse Practitioner
Verify with the MN board →
MO Missouri
Licence
2023038564
Specialty
Family Nurse Practitioner
Verify with the MO board →
NH New Hampshire
Licence
116290-23
Specialty
Family Nurse Practitioner
Verify with the NH board →
NM New Mexico
Licence
87047
Specialty
Family Nurse Practitioner
Verify with the NM board →
NY New York
Licence
358318
Specialty
Family Nurse Practitioner
Verify with the NY board →
OH Ohio
Licence
28237767A
Specialty
Family Nurse Practitioner
Verify with the OH board →
TN Tennessee
Licence
40452
Specialty
Family Nurse Practitioner
Verify with the TN board →
WA Washington
Licence
61654547
Specialty
Family Nurse Practitioner
Verify with the WA board →
WI Wisconsin
Licence
14590-33
Specialty
Family Nurse Practitioner
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 71007270A IN primary
363LF0000X Family Nurse Practitioner Family 28237767A OH
363LF0000X Family Nurse Practitioner Family 2023038564 MO
363LF0000X Family Nurse Practitioner Family 87047 NM
363LF0000X Family Nurse Practitioner Family APRN9497550 FL
363LF0000X Family Nurse Practitioner Family 10911 MN
363LF0000X Family Nurse Practitioner Family 40452 TN
363LF0000X Family Nurse Practitioner Family 4008679 KY
363LF0000X Family Nurse Practitioner Family 53-82580-082 KS
363LF0000X Family Nurse Practitioner Family 358318 NY
363LF0000X Family Nurse Practitioner Family 61654547 WA
363LF0000X Family Nurse Practitioner Family 14590-33 WI
363LF0000X Family Nurse Practitioner Family A176453 IA
363LF0000X Family Nurse Practitioner Family 116290-23 NH
363LF0000X Family Nurse Practitioner Family 209013163 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1750757076 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 20, 2015
Last updatedFeb 24, 2026
StatusActive
Sole proprietorYes
GenderFemale
CredentialFNP-C
Practice address 11027 BAYCREEK DR
Indianapolis, IN 46236
(813) 730-8960
Mailing address 885 3RD AVE FL 28
New York, NY 10022
This record was updated on Feb 24, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1750757076 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 5 0 7 5 7 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 1 0 5 5 5 0 5

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1750757076?
NPI 1750757076 is the National Provider Identifier assigned to Tammra Mallory, FNP-C in Indianapolis, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Tammra Mallory, FNP-C?
The phone number on file with NPPES is (813) 730-8960, last updated Feb 24, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Tammra Mallory, FNP-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1750757076 a valid number?
Yes. 1750757076 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.