Active NPI
Mallory Kitchell, APRN-CNP
- Psychiatric/Mental Health Nurse Practitioner
- McAlester, OK
National Provider Identifier
1164394813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 225064
- Practice address
- 604 S 2ND St
McAlester, OK 74501-5814 - Phone
- (539) 316-2140
- NPI assigned
- Sep 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 225064 | OK | Primary |
Addresses
Primary practice location
604 S 2ND St
McAlester, OK 74501-5814
Mailing address
655 E Okmulgee St
Muskogee, OK 74403-5529
Phone (918) 915-7575
Other practice location 1
655 E Okmulgee St
Muskogee, OK 74403-5529
Phone (918) 915-7575
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
655 E Okmulgee St
Muskogee, OK 74403-5529
Phone (918) 913-7575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225064 | OK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kind Mind Mental Health Professional Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Past | Accepting new patients | |
| Choctaw Nation Health Care System | Past | Accepting new patients |
Locations
655 E Okmulgee St
Muskogee, OK 74403
Phone (918) 683-0981
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Muskogee, OK
- NPI 1033974951
-
- General Acute Care Hospital
- McAlester, OK
- NPI 1023496080
-
- Primary Care Clinic/Center
- Broken Bow, OK
- NPI 1770559619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1164394813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 E OKMULGEE ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744035529",
"telephone_number": "918-915-7575",
"fax_number": "918-915-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 S 2ND ST",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745015814",
"telephone_number": "539-316-2140"
}
],
"practiceLocations": [
{
"address_1": "655 E Okmulgee St",
"address_purpose": "LOCATION",
"city": "Muskogee",
"state": "OK",
"postal_code": "744035529",
"country_code": "US",
"telephone_number": "918-915-7575",
"fax_number": "918-915-7576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITCHELL",
"first_name": "MALLORY",
"credential": "APRN-CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-22",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "225064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.