Individual provider Active NPI

Mallory E Hull, CRNP

  • Family Nurse Practitioner
  • Hershey, PA
National Provider Identifier
1285157412
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017737 Issued in PA
Practice address
35 Hope Dr Ste 104
Hershey, PA 17033-2008
Phone
(717) 531-8550
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 SP017737 PA Primary

Addresses

Primary practice location

35 Hope Dr Ste 104
Hershey, PA 17033-2008

Mailing address

2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone (717) 544-3059

Other practice location 1

2112 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone (717) 544-3059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171102000863 PA Practitioner - Nurse Practitioner 0244596575 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017737PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Oct 2, 2017 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Oct 2, 2017 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

3025 Market St
Camp Hill, PA 17011
Phone (717) 691-1212

426 Cloverleaf Rd
#D
Elizabethtown, PA 17022
Phone (717) 544-3059

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

2112 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 544-3059

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1430 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 327-4680

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1285157412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3059",
            "fax_number": "717-544-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HOPE DR STE 104",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332008",
            "telephone_number": "717-531-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 Harrisburg Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012644",
            "country_code": "US",
            "telephone_number": "717-544-3059",
            "fax_number": "717-544-3638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "MALLORY",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.