Individual provider Active NPI

Mallory Lee Anslow, APRN, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1386244176
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012673A Issued in IN
Practice address
1550 E County Line Rd Ste 201
Indianapolis, IN 46227-1082
Phone
(317) 355-1470
Fax
(317) 355-1475
NPI assigned
Oct 29, 2020
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012673A IN Primary
Family Nurse Practitioner 363LF0000X 28193934A IN

Addresses

Primary practice location

1550 E County Line Rd Ste 201
Indianapolis, IN 46227-1082

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

10641 Deercrest Ln
Indianapolis, IN 46239-9690
Phone (317) 966-4708

Other identifiers 1

IdentifierTypeStateIssuer
300066355MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ipad Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220823001423 IN Practitioner - Nurse Practitioner 4880077957 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
My Mobile MD LLCGroup PAC ID 1052617826, 27 clinicians
My Mobile MD Indiana LLCGroup PAC ID 9830607605, 29 clinicians

Practice addresses (Care Compare)

1550 E County Line Rd
Suite 201
Indianapolis, IN 46227-1082
Phone (317) 355-1470

429 E Vermont St
Suite 110
Indianapolis, IN 46202-3685
Phone (317) 559-0950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28193934AINMDFamily Nurse Practitioner
71012673AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC CurrentSince Mar 15, 2023 Accepting new patients
My Mobile MD LLC CurrentSince Apr 9, 2025 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Mar 15, 2023 Accepting new patients
Pike Medical Consultants PC CurrentSince Jul 29, 2022 Accepting new patients
My Mobile MD Indiana LLC CurrentSince Dec 30, 2025 Accepting new patients
Urgent Care Services Inc Past Accepting new patients

Locations

762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290

7911 Michigan Rd
Indianapolis, IN 46268
Phone (317) 960-3278

7911 Michigan Rd
Ste B
Indianapolis, IN 46268
Phone (317) 956-6289

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

Organizations & group practices 7

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 3

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1386244176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E COUNTY LINE RD STE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271082",
            "telephone_number": "317-355-1470",
            "fax_number": "317-355-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10641 Deercrest Ln",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462399690",
            "country_code": "US",
            "telephone_number": "317-966-4708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSLOW",
        "first_name": "MALLORY",
        "middle_name": "LEE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012673A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28193934A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300066355",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ipad",
            "affiliation": "N",
            "endpointDescription": "ipad",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "10641 Deercrest Ln",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462399690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.