Mallory Skye Kowalski, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0000794 Issued in DE

Practice address

620 Stanton Christiana Rd Ste 202
Newark, DE 19713-2130

Phone

(302) 384-7439

Fax

(302) 384-7443

NPI assigned

Nov 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mallory Skye Reynolds Former name

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advancexing Pain and Rehabilitation Clinic PAGroup PAC ID 0648237537, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score

91.95 of 100Reported as apm

Quality

81.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Advancexing Pain and Rehabilitation Clinic PA

  • Physical Medicine & Rehabilitation Physician
  • Newark, DE
  • NPI 1487674982
  Medicare reassignment Care Compare group NPD
• Medexpress, Inc - Delaware

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1255692182
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1356746382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132130",
            "telephone_number": "405-613-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132130",
            "telephone_number": "302-384-7439",
            "fax_number": "302-384-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "MALLORY",
        "middle_name": "SKYE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "REYNOLDS",
            "middle_name": "SKYE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Jacob Korolev, MS, ATC/L
• Trevor Kosinski
• Anandi Dinesh Kotak, MD, MS, MPH
• Stephanie M Koterwas, FNP
• George Kovalevsky, MD
• Sree Sruthi Kowsika, M.D
• Srivatsa Chihna Kowsika, PA-C
• Katelyn E Kozma
• Paul V Krajewski, PAC
• Ashley Kramer

• Family Nurse Practitioner in Newark, DE
• Providers in Newark, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.

Verify at the official NPI Registry.