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

Mallory Quinn De Boom, PA

Individual provider Medical Physician Assistant · NPI 1801540646

Mallory Quinn De Boom, PA is a Physician Assistant in Germantown, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2021, 5 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2004 Exeter Rd
Germantown, TN 38138-3945
Phone: (901) 664-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4931 (TN)
Medical Physician Assistant Taxonomy 363AM0700X (TN)

Record details

NPI number1801540646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients76
Services billed 274 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Allina Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3867 clinicians in the practice; 12 are shown here.

Other providers in Germantown