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

Mallory Eberly

Individual provider Medical Physician Assistant · NPI 1588217491

Mallory Eberly is a Nurse Practitioner in Rushville, New York. Qualified in 2019, 7 years ago. Practices with University of Rochester Urgent Care, a 63-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2 Rubin Dr
Rushville, NY 14544-9681
Phone: (585) 554-4400
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 628042-1 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 344949 (NY)

Record details

NPI number1588217491
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2019
Last updated in NPPESJuly 22, 2023
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Rochester Urgent Care — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services