Individual provider Active NPI

Malori Sade Patrice Hinchen, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1013803576
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025028704 Issued in WI
Practice address
1639 N Alpine Rd Ste 260
Rockford, IL 61107-1481
Phone
(815) 200-8277
NPI assigned
Jun 13, 2025
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025028704 WI Primary

Addresses

Primary practice location

1639 N Alpine Rd Ste 260
Rockford, IL 61107-1481

Mailing address

208 Park Ave Apt 613
Gaithersburg, MD 20877-2956
Phone (608) 751-4972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251230000423 IL Practitioner - Nurse Practitioner 7214423235 Reassigns benefits to 1 organization
I20251230000616 WI Practitioner - Nurse Practitioner 7214423235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

1233 N Mayfair Rd
Suite 207
Wauwatosa, WI 53226-3255
Phone (414) 296-6189

1639 N Alpine Rd
Suite 260
Rockford, IL 61107-1481
Phone (815) 395-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025028704WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Dec 18, 2025 Accepting new patients

Locations

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

1639 N Alpine Rd
Ste 500
Rockford, IL 61107
Phone (815) 395-1500

780 Regent St
Ste 309
Madison, WI 53715
Phone (608) 690-5657

1233 N Mayfair Rd
Ste 207
Wauwatosa, WI 53226
Phone (414) 285-6018

Interoperability endpoints

  • Direct secure messaging: malori.hinchen.1@25899.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1013803576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PARK AVE APT 613",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772956",
            "telephone_number": "608-751-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 N ALPINE RD STE 260",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071481",
            "telephone_number": "815-200-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINCHEN",
        "first_name": "MALORI",
        "middle_name": "SADE PATRICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "2025028704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.