Mary Elizabeth Malen, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2002016341 Issued in MO

Practice address

1227 De Noailles Dr
Ballwin, MO 63011-3605

Phone

(877) 658-2244

Fax

(858) 724-6662

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KY, TN, NC, TX, IL, FL, NY8 enrollments

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 8

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mdwatch Medical CorpGroup PAC ID 3870992670, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.malen.1@25522.direct.athenahealth.com

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.

• Mdwatch Medical Corp.

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1548842370

  MO

  Medicare reassignment Care Compare group NPD
• Sound Physicians of Illinois, LLC

  • Hospitalist Physician
  • Bridgeton, MO
  • NPI 1043598865
  Medicare reassignment NPD
• Inpatient Consultants of Missouri Inc

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1194779579
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Mdwatch Ca, PC

  • General Practice Physician
  • San Diego, CA
  • NPI 1275145138
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1386784676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284664",
            "telephone_number": "877-658-2244",
            "fax_number": "858-724-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 DE NOAILLES DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113605",
            "telephone_number": "877-658-2244",
            "fax_number": "858-724-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2002016341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Senior Services
• Caitlin Maas, M.ED., BCBA, LBA
• Kristi R Machica, LPC, RPT-S
• Brian L. Mahaffey, MD
• Jodi Main
• Nisha Mali, OCCUPATIONAL THERAP
• Afshan Malik, LPC
• Nomana Malik
• Shannon Malon
• Manan Hearing LLC

• Adult Health Nurse Practitioner in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.