Individual provider Active NPI

Mallory Jean Woods, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1144114307
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
116164 Issued in NE
Practice address
2412 Cuming St Ste 200
Omaha, NE 68131-1604
Phone
(402) 717-0380
Fax
(402) 717-6059
NPI assigned
Jun 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 91136 NE
Family Nurse Practitioner 363LF0000X 116164 NE Primary
Family Nurse Practitioner 363LF0000X A186801 IA

Addresses

Primary practice location

2412 Cuming St Ste 200
Omaha, NE 68131-1604

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Other practice location 1

1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (712) 328-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20250918004506 NE Practitioner - Nurse Practitioner 8628572914 Reassigns benefits to 1 organization
I20250926001860 IA Practitioner - Nurse Practitioner 8628572914 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
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

1288 Valley View LN
Council Bluffs, IA 51503-5456
Phone (712) 328-8800

2412 Cuming St
Suite 200
Omaha, NE 68131-1601
Phone (402) 717-0800

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
91136NEMDRegistered Nurse
A186801IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Sep 16, 2025 Accepting new patients
Alegent Creighton Clinic CurrentSince Sep 22, 2025 Accepting new patients
Alegent Creighton Clinic CurrentSince Sep 16, 2025 Accepting new patients

Locations

3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

4220 L St
#100
Omaha, NE 68107
Phone (402) 733-4433

2412 Cuming St
Ste 200
Omaha, NE 68131
Phone (402) 717-0380

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Organizations & group practices 3

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 & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1144114307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 CUMING ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681311604",
            "telephone_number": "402-717-0380",
            "fax_number": "402-717-6059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515035245",
            "country_code": "US",
            "telephone_number": "712-328-8800",
            "fax_number": "712-328-8461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MALLORY",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "91136",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116164",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A186801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.