Individual provider Active NPI

Mallory Cushner, APRN

  • Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1316468762
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002663 Issued in NV
Practice address
973 Mica Drive
Suite 201
Carson City, NV 89705-7258
Phone
(775) 783-6109
NPI assigned
Jul 6, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 TAPRN701656 NV
Nurse Practitioner 363L00000X APRN002663 NV Primary
Registered Nurse 163W00000X RN236296 GA

Addresses

Primary practice location

973 Mica Drive
Suite 201
Carson City, NV 89705-7258

Mailing address

973 Mica Dr Ste 201
Carson City, NV 89705-7258
Phone (775) 783-6109

Other practice location 1

2874 N Carson St
Carson City, NV 89706-0251
Phone (775) 783-6190

Other practice location 2

896 W Nye Ln Ste 203
Carson City, NV 89703-1568
Phone (775) 783-6190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20171004003615 NV Practitioner - Nurse Practitioner 5890060644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James J Lynch M D LTDGroup PAC ID 9133188626, 81 clinicians

Practice addresses (Care Compare)

1470 Medical Pkwy
Suite 220
Carson City, NV 89703-4647
Phone (775) 348-8800

2874 N Carson St
Suite 123
Carson City, NV 89706-1681
Phone (775) 783-6190

2874 N Carson St
Suite 210
Carson City, NV 89706-1682
Phone (775) 783-6190

780 Vista Blvd
Suite 100
Sparks, NV 89434-6677
Phone (775) 348-8800

9480 Double Diamond Pkwy
Suite 200
Reno, NV 89521-5842
Phone (775) 348-8800

961 Mica Dr
Carson City, NV 89705-7269
Phone (775) 348-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN236296GAMDRegistered Nurse
TAPRN701656NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James J Lynch MD LTD CurrentSince Jan 1, 2022 Accepting new patients
James J Lynch M D LTD CurrentSince Jan 1, 2022 Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

1470 Medical Pkwy
Ste 220
Carson City, NV 89703

1749 N Stewart St
Ste 50
Carson City, NV 89706
Phone (775) 392-3680

2874 N Carson St
Ste 105
Carson City, NV 89706
Phone (775) 283-3321

973 Mica Dr
Ste 201
Carson City, NV 89705
Phone (702) 884-5470

9480 Double Diamond Pkwy
Ste 200
Reno, NV 89521
Phone (775) 348-8000

9990 Double R Blvd
Ste 200
Reno, NV 89521
Phone (605) 999-7267

Interoperability endpoints

  • Direct secure messaging: mallory.cushner.1@22724.direct.athenahealth.com

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316468762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 MICA DR STE 201",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057258",
            "telephone_number": "775-783-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 MICA DRIVE",
            "address_2": "SUITE 201",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057258",
            "telephone_number": "775-783-6109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2874 N Carson St",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897060251",
            "country_code": "US",
            "telephone_number": "775-783-6190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "896 W Nye Ln Ste 203",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897031568",
            "country_code": "US",
            "telephone_number": "775-783-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSHNER",
        "first_name": "MALLORY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "TAPRN701656",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002663",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN236296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.