Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessie E. Mallalieu, PA-C

Individual provider Physician Assistant · NPI 1073669784

Jessie E. Mallalieu, PA-C is a Physician Assistant in Frederick, Maryland. Qualified in 2004, 22 years ago. Practices with Michael R. Warner Mdpa, a 6-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
22
Licensed in
MD
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

63 Thomas Johnson Dr Ste B
Frederick, MD 21702-4384
Phone: (301) 698-2424
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C02972 (MD)

Record details

NPI number1073669784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2007
Last updated in NPPESMarch 22, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Michael R. Warner Mdpa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Frederick