Mallory Dayle White, APRN, CNP-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

92345 Issued in OK

Practice address

514 Plaza CT
Sand Springs, OK 74063-7915

Phone

(918) 215-5100

Fax

(918) 215-5105

NPI assigned

Mar 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osumc Professional Services LLCGroup PAC ID 9234254012, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078
• Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

Merit-based Incentive Payment System (MIPS)

Final score

87.8 of 100Reported as group

Quality

81.62

Promoting interoperability

99

Improvement activities

40

Cost

72.28

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwhite719065@directa.mercy.net
• Direct secure messaging: mwhite217522@direct.saintfrancis.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.

• Osumc Professional Services LLC

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1922325992
  Medicare reassignment Care Compare group NPD

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

• Oklahoma State University Medical Trust

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1578704938
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1003039488
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1144228487
  Care Compare affiliation

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1124411749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 PLAZA CT",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637915",
            "telephone_number": "918-215-5100",
            "fax_number": "918-215-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 PLAZA CT",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637915",
            "telephone_number": "918-215-5100",
            "fax_number": "918-215-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9645 Riverside Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741377427",
            "country_code": "US",
            "telephone_number": "918-209-5170",
            "fax_number": "918-209-5187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 W Main St",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "OK",
            "postal_code": "740213114",
            "country_code": "US",
            "telephone_number": "918-215-5100",
            "fax_number": "918-215-5105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3345 S Harvard Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741351809",
            "country_code": "US",
            "telephone_number": "918-748-8111",
            "fax_number": "918-744-5284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9101 S Toledo Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741372719",
            "country_code": "US",
            "telephone_number": "918-392-3444",
            "fax_number": "918-392-3469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MALLORY",
        "middle_name": "DAYLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "92345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "434557YMSD",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200599040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maudie Wearstler, COTA/L
• Jamie Weiland, M.S., CRC, LPC
• Well Spoken
• Stephanie Welter, LCSW
• Westside Counseling and Consulting
• David E Wiegman, M.D.
• Allison Brooke Wignall, MSW
• Wilcox Chiropractic PLLC
• Devin Wilcox, RPH
• Linnie Wilcox, RPH

• Family Nurse Practitioner in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.