Active NPI
Mallory Cushner, APRN
- Nurse Practitioner
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN002663
- 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, 2022
- 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 | 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
Enrollment records 1
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
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 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN236296 | GA | MD | Registered Nurse |
| TAPRN701656 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James J Lynch MD LTD | Current | Accepting new patients | |
| James J Lynch M D LTD | Current | 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
- 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.
-
dba Swift Institute
- Durable Medical Equipment & Medical Supplies
- Carson City, NV
- NPI 1669157319
-
- Critical Access Hospital
- Hawthorne, NV
- NPI 1801844527
-
dba Saint Mary's Regional Medical Center
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
dba South Lyon Medical Center
- Physical Therapist
- Yerington, NV
- NPI 1407815194
-
dba Northern Nevada Medical Center
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
dba CVMC Outpatient Behavioral Health Clinic
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
dba Carson Valley Health
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
-
dba Barton Memorial Hospital
- General Acute Care Hospital
- South Lake Tahoe, CA
- NPI 1003867565
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.