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

Mallory Naber Mosko, PA-C

Individual provider Physician Assistant · NPI 1841683562

Mallory Naber Mosko, PA-C is a Physician Assistant in Edgewood, Kentucky. Qualified in 2014, 12 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
12
Licensed in
KY, OH
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-2273
Fax: (859) 301-6182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 Medical Village Drive, Edgewood, KY 41017-4101 — (859) 344-1600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1992 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 004112 (OH)

Record details

NPI number1841683562
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2015
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edgewood