Mallory A Simonton, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209018013 Issued in IL

Practice address

1 Phipps LN
Paris, IL 61944-2919

Phone

(217) 463-4340

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mallory A Cook Former name

Medicare fee-for-service enrollment

Enrolled in IN, IL2 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital and Medical Foundation of Paris IncGroup PAC ID 7315933827, 123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paris Community Hospital Hospital, Paris, IL, CCN 141320

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mallory.cook.1@11356.direct.athenahealth.com

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.

• Hospital & Medical Foundation of Paris, Inc.

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322
  Medicare reassignment Care Compare group NPD
• Indiana University Health Care Associates, Inc

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832

  Family

  Medicare reassignment NPD
• Hospital & Medical Foundation of Paris, Inc.

  • Rural Health Clinic/Center
  • Chrisman, IL
  • NPI 1447314653
  NPD
• Hospital & Medical Foundation of Paris, Inc.

  • Clinic/Center
  • Paris, IL
  • NPI 1629280367
  NPD (past)
• Hospital & Medical Foundation of Paris, Inc.

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1962378208
  NPD (past)

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

• Hospital & Medical Foundation of Paris, Inc.

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322
  Care Compare affiliation

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1093244162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442966",
            "telephone_number": "217-463-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PHIPPS LN",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442919",
            "telephone_number": "217-463-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONTON",
        "first_name": "MALLORY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007144A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "COOK",
            "middle_name": "A",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Schneider
• Suzanne Schubert
• Mary Ann Seaton
• Rahat Hameed Sheikh, MD
• Jamie Shotts, APRN
• Cassandra Simpson, LSW
• Cynthia J Simpson, PTA
• Lisa Smittkamp
• Jitendrakumar Sodvadiya
• Sara J Spesard, NP

• Family Nurse Practitioner in Paris, IL
• Providers in Paris, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.