Mallory Pace
NPI 1548627771ActiveIndividual· Speech-Language Pathologist· Edmond, OK
Speech-Language Pathologist in Edmond, Oklahoma, licensed in OK, with an NPI issued in January 2016. Medicare paid $23,743 for services to 32 patients in 2024.
Overview
| NPI | 1548627771 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 19, 2016 |
| Last updated in NPPES | Jul 1, 2020 |
| Certified by provider | Jul 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 4469 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 382 across 4 procedure codes |
| Paid by Medicare | $23,743 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
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All 186 speech-language pathologists in Edmond · All speech-language pathologists in Oklahoma