Individual provider Active NPI

Mallory Hoover

  • Family Nurse Practitioner
  • Mt Pleasant, IA
National Provider Identifier
1144816406
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12200531 Issued in IA
Practice address
801 N Grand Ave
Mount Pleasant, IA 52641-3120
Phone
(319) 984-4775
NPI assigned
Dec 21, 2020
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12200531 IA Primary

Addresses

Primary practice location

801 N Grand Ave
Mount Pleasant, IA 52641-3120

Mailing address

3204 W Madison Ave
Fairfield, IA 52556-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20210617002277 IA Practitioner - Nurse Practitioner 3375943988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson County HospitalGroup PAC ID 9335059575, shared by 4 NPIs, 48 clinicians

Practice addresses (Care Compare)

2000 C S Main St
Fairfield, IA 52556-9572

2000 S Main
Fairfield, IA 52556-9572

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F12200531IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care Ia PLLC CurrentSince May 21, 2021 Accepting new patients
Jefferson County Hospital CurrentSince Jan 1, 2023 Accepting new patients
Jefferson County Hospital CurrentSince Jul 25, 2025 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince May 21, 2021 Accepting new patients
Jefferson County Hospital CurrentSince Jan 1, 2023 Accepting new patients
Jefferson County Hospital Past Accepting new patients

Locations

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

Interoperability endpoints

  • Direct secure messaging: mhoover160142@uihcdirect.org

Organizations & group practices 6

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

Hospital & facility affiliations 5

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1144816406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 W MADISON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525564733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N GRAND AVE",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526413120",
            "telephone_number": "319-984-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "F12200531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

Verify at the official NPI Registry.