Mallory Elizabeth Cusumano, NP
NPI 1740797398ActiveIndividual· Nurse Practitioner· Chesterfield, MO
Nurse Practitioner (NP) with Rehabclinics Pta Inc and 2 other groups, practicing in Chesterfield, Missouri. 123 Medicare patients in 2024, $16,469 paid; all of their 307 Part D prescriptions were generic. Kerecis Limited reported $133.50 in payments in 2025, mostly food and beverage. Lists St Lukes Hospital as a hospital affiliation.
Overview
| NPI | 1740797398 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jan 4, 2018 |
| Last updated in NPPES | May 20, 2025 |
| Certified by provider | May 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2018004643 | MO |
| Nurse Practitioner, Adult Health | 363LA2200X | 2018004643 | MO |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 123 |
|---|---|
| Services billed | 1,112 across 25 procedure codes |
| Paid by Medicare | $16,469 |
Part D prescriptions in 2024
| Prescriptions (claims) | 307 · 307 30-day fills |
|---|---|
| Patients | 195 |
| Total drug cost | $1,699 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Rehabclinics Pta IncNorth Miami Beach, FL · 210 clinicians
- Physical Therapy Spine and Sports Medicine LLCBallwin, MO · 129 clinicians
- St Lukes Orthopedics Woods Mill LLCChesterfield, MO · 13 clinicians
Hospital affiliation
- St Lukes HospitalChesterfield, MO
Other facilities
- Ssm Health Rehabilitation HospitalInpatient rehabilitation facility · Richmond Heights, MO
Industry payments (Open Payments)
- 2025$133.50 · 2 payments from 1 company
- 2024$233.55 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $133.50 | 2 |
What the 2025 payments were for
- Food and Beverage$133.50 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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