Mallory Ann Doyle, AGPCNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024183595 Issued in VA

Practice address

105 Financial PL
Elizabethtown, KY 42701-8437

Phone

(270) 765-5112

NPI assigned

Oct 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
• Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score

80.33 of 100Reported as group

Quality

74.39

Promoting interoperability

87

Improvement activities

40

Cost

70.89

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdoyle95590@direct.virginiahospitalcenter.net

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

• Virginia Hospital Center Physician Group, LLC

  • Maternal & Fetal Medicine Physician
  • Arlington, VA
  • NPI 1144415480

  DC

  Medicare reassignment Care Compare group NPD
• Virginia Hospital Center Physician Group LLC

  • Cardiovascular Disease Physician
  • Arlington, VA
  • NPI 1043617889
  NPD
• Virginia Hospital Center Physician Group LLC

  • Neurology Physician
  • Arlington, VA
  • NPI 1245010479
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1922139120
  Care Compare affiliation
• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1033718465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 HOLIDAY DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722673",
            "telephone_number": "989-980-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FINANCIAL PL",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018437",
            "telephone_number": "270-765-5112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Beauregard St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223111732",
            "country_code": "US",
            "telephone_number": "703-717-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "MALLORY",
        "middle_name": "ANN",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "3015251",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024183595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montana Sue Dotson, PA-C
• Bryon L Douglas, LPCC
• Sierra Nicole Douthitt
• Cassandra Downey, DNP, CRNA
• Rachel Downs, APSS
• Dr Corzaon a Veza
• Dr Watson Concierge Medicine, PLLC
• Dr. Elizabeth D. Sebree MD PSC
• Dr. Sasha Radford, LLC
• Jenna Dreher

• Adult Health Nurse Practitioner in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Adult Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.