Individual provider Active NPI

Malloree Jo Froehlich

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1356065494
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022040708 Issued in MO
Practice address
4179 Sterling Ave
Kansas City, MO 64133-1348
Phone
(816) 780-2870
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022040708 MO Primary
Nurse Practitioner 363L00000X 53-82063-112 KS

Addresses

Primary practice location

4179 Sterling Ave
Kansas City, MO 64133-1348

Mailing address

3550 S 4TH St Ste 110
Leavenworth, KS 66048-5061
Phone (816) 383-1887

Other practice location 1

3550 S 4th St
Leavenworth, KS 66048-5071
Phone (913) 680-6000

Other practice location 2

3550 S 4th St Ste 110
Leavenworth, KS 66048-5061
Phone (913) 680-6200

Other practice location 3

8919 Parallel Pkwy Ste 250
Kansas City, KS 66112-1655
Phone (913) 596-3152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230202001340 KS Practitioner - Nurse Practitioner 7911379854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
57.94
Promoting interoperability
99
Improvement activities
40
Cost
73.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-82063-112KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Feb 1, 2023 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Feb 1, 2023 Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients

Locations

8919 Parallel Pkwy
Ste 250
Kansas City, KS 66112
Phone (913) 335-6000

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

3550 S 4th St
Ste 110
Leavenworth, KS 66048
Phone (913) 680-6200

3550 S 4th St
Leavenworth, KS 66048
Phone (800) 903-2088

Organizations & group practices 3

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1356065494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S 4TH ST STE 110",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485061",
            "telephone_number": "816-383-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 STERLING AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331348",
            "telephone_number": "816-780-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485071",
            "country_code": "US",
            "telephone_number": "913-680-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 S 4th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485061",
            "country_code": "US",
            "telephone_number": "913-680-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8919 Parallel Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121655",
            "country_code": "US",
            "telephone_number": "913-596-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROEHLICH",
        "first_name": "MALLOREE",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2022040708",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-82063-112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.