Individual provider Active NPI

Mallory K Norton

  • Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1356945091
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.020456 Issued in IL
Practice address
808 Rickert Dr Ste 103
Naperville, IL 60540-0908
Phone
(888) 963-6437
Fax
(630) 348-3098
NPI assigned
Nov 23, 2020
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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 209.020456 IL Primary
Family Nurse Practitioner 363LF0000X 209.020456 IL

Addresses

Primary practice location

808 Rickert Dr Ste 103
Naperville, IL 60540-0908

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mnorton252210@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20201210001040 IL Practitioner - Nurse Practitioner 4183036403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

808 Rickert Dr
Naperville, IL 60540-0905
Phone (630) 355-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.020456ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Nov 19, 2020 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Nov 19, 2020 Accepting new patients
Dupage Medical Group LTD CurrentSince Dec 12, 2022 Accepting new patients
Dupage Medical Group LTD CurrentSince Dec 12, 2022 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

808 Rickert Dr
Naperville, IL 60540
Phone (630) 322-8300

808 Rickert Dr
Ste 103
Naperville, IL 60540
Phone (331) 551-5854

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

Interoperability endpoints

  • Direct secure messaging: mnorton252210@dulyhealthandcare.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1356945091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 RICKERT DR STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400908",
            "telephone_number": "888-963-6437",
            "fax_number": "630-348-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTON",
        "first_name": "MALLORY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.020456",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnorton252210@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "808 Rickert Dr Ste 103",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605400908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.