Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407564537 Individual Practitioner Female Practitioner

Mallory K. Pearson , PA

Physician Assistant • Indianapolis, IN

Professional Overview & Biography Verified Profile Summary

Mallory Pearson, PA is a registered healthcare professional specializing in Physician Assistant in Indianapolis, IN. Practice services are available at 705 RILEY HOSPITAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

705 Riley Hospital Dr

Indianapolis, IN 462025109

Telephone 3172744779
Fax 3179489806
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
714 Specialists

Practicing in Indianapolis, IN (2429 Statewide)

Telehealth Adoption Rate
13.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10003871A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300070888 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mohannad Moallem , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003026501

Doctor of Medicine (M.D.)

Joshua Gollub

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003312869
Dr. Blair Welch , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1013442946

Doctor of Medicine (M.D.)

Rebekah Hurst , NP-C

Nurse Practitioner - Family

NPI 1013486588

Nurse Practitioner (Certified)

Camryn Berman , PA-C

Physician Assistant

NPI 1043904527

Physician Assistant (Certified)

Sarah Clark , NP

Nurse Practitioner - Neonatal

NPI 1053028365

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 03, 2025

Registered at 705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 462025109 (Tel: 3172744779)

📍
Updated Business Mailing Address January 29, 2025

Registered at PO BOX 778912, CHICAGO, IL 606778912 (Tel: 3177776435)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Physician Assistant (License #10003871A in IN)

NPI Profile Active November 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2022

Registered at 7900 W JEFFERSON BLVD STE 306, FORT WAYNE, IN 468044128 (Tel: 2604583610)

📍
Updated Business Mailing Address November 08, 2022

Registered at 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 468047934 (Tel: 2604793514)

👤
Provider Name / Credentials Updated November 08, 2022

Recorded as MALLORY PEARSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2022

Physician Assistant (License #PENDING in IN)

🟢
Initial NPI Registration & Enumeration November 08, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407564537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2022
Last Update: April 17, 2025
Sole Proprietor: No

Mailing Address

Po Box 778912

Chicago, IL 606778912

Phone: 3177776435

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.