Individual provider Active NPI

Ashley Malchow, NP

  • Primary Care Nurse Practitioner
  • Phillips, WI
National Provider Identifier
1265066245
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11692 Issued in WI
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816001907 WI Practitioner - Nurse Practitioner 8224469374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58175MNMDRegistered Nurse
7386MNMDNurse Practitioner
11692WIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC Nurse Practitioner CurrentSince Apr 10, 2024 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.