Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Tagge, APRN-CNP, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1548636293

Mallory Tagge, APRN-CNP, AGPCNP-BC is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2014, 12 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
12
Licensed in
OK
In the registry since
2015
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Practice location Address checks out

401 SW 80th St Bldg D Ste 200
Oklahoma City, OK 73139-8122
Phone: (405) 601-4227
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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 99510 (OK)

Record details

NPI number1548636293
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP , AGPCNP-BC
Sole proprietorNo
NPI enumeratedAugust 17, 2015
Last updated in NPPESFebruary 4, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Oklahoma City