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

Individual provider Nurse Practitioner · NPI 1063000651

Mallori Rogers, CRNP is a Nurse Practitioner in Lewistown, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

400 Highland Ave
Lewistown, PA 17044-1167
Phone: (717) 242-7126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP022561 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP022561 (PA)

Record details

NPI number1063000651
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 8, 2021
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lewistown