Active NPI
Ashley Malchow, NP
- Primary Care Nurse Practitioner
- Phillips, WI
National Provider Identifier
1265066245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 11692
- Practice address
- 128 S Lake Ave
Phillips, WI 54555-1318 - Phone
- (715) 339-3546
- Fax
- (715) 339-3546
- NPI assigned
- Feb 27, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7386 | MN | |
| Primary Care Nurse Practitioner | 363LP2300X | 11692 | WI | Primary |
| Registered Nurse | 163W00000X | 58175 | MN |
Addresses
Primary practice location
128 S Lake Ave
Phillips, WI 54555-1318
Mailing address
128 S Lake Ave
Phillips, WI 54555-1318
Phone (715) 339-3546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.64 of 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58175 | MN | MD | Registered Nurse |
| 7386 | MN | MD | Nurse Practitioner |
| 11692 | WI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Nurse Practitioner | Current | Accepting new patients |
Locations
250 Skillman St
Ste 202
Brooklyn, NY 11205
430 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-5533
Interoperability endpoints
- ashleymalchow@normd.allscriptsdirect.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1265066245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 S LAKE AVE",
"city": "PHILLIPS",
"state": "WI",
"postal_code": "545551318",
"telephone_number": "715-339-3546",
"fax_number": "715-339-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 S LAKE AVE",
"city": "PHILLIPS",
"state": "WI",
"postal_code": "545551318",
"telephone_number": "715-339-3546",
"fax_number": "715-339-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCHOW",
"first_name": "ASHLEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2023-11-27",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "7386",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WI",
"license": "11692",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "58175",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phillips, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.