Individual provider Active NPI

Mallory Erin Krispinsky, PA-C

  • Physician Assistant
  • Sylva, NC
National Provider Identifier
1124392154
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
61 Bonnie LN
Sylva, NC 28779-8511
Phone
(828) 631-1852
Fax
(828) 565-0465
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

61 Bonnie LN
Sylva, NC 28779-8511

Mailing address

61 Bonnie LN
Sylva, NC 28779-8511
Phone (828) 631-1852

Other practice location 1

243 Jones Cove Rd
Clyde, NC 28721-9483
Phone (828) 631-1852

Other practice location 2

197 Riverview St
Franklin, NC 28734-2611
Phone (828) 631-1852

Other names 1

  • Mallory Erin Wheeler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131104001383 VA Practitioner - Physician Assistant 9739344334 Reassigns benefits to 1 organization
I20191001002057 OH Practitioner - Physician Assistant 9739344334 Reassigns benefits to 1 organization
I20240814001447 NC Practitioner - Physician Assistant 9739344334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Saint Louis University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

1450 Professional Park Dr
Winston Salem, NC 27103-1300
Phone (336) 724-2434

78 Long Shoals Rd
Arden, NC 28704-7782
Phone (828) 684-0703

Merit-based Incentive Payment System (MIPS)

Final score
94.22 of 100Reported as group
Quality
90.79
Promoting interoperability
100
Improvement activities
40
Cost
89.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA CurrentSince Jun 1, 2025 Accepting new patients

Locations

78 Long Shoals Rd
Arden, NC 28704
Phone (704) 684-0703

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone (336) 724-2434

Interoperability endpoints

  • Direct secure messaging: mkrispinsky@currentdermatology.emadirect.md
  • Direct secure messaging: mallorykrispinsky@pdsltd.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1124392154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BONNIE LN",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798511",
            "telephone_number": "828-631-1852",
            "fax_number": "828-565-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BONNIE LN",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798511",
            "telephone_number": "828-631-1852",
            "fax_number": "828-565-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Jones Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287219483",
            "country_code": "US",
            "telephone_number": "828-631-1852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 Riverview St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342611",
            "country_code": "US",
            "telephone_number": "828-631-1852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISPINSKY",
        "first_name": "MALLORY",
        "middle_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "WHEELER",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.