Active NPI
Rachel Mallett, RN, FNP-BC, MSN
- Family Nurse Practitioner
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015015185
- Practice address
- 1601 E Broadway Ste 260
Columbia, MO 65201-8041 - Phone
- (573) 815-2221
- Fax
- (573) 815-5320
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015015185 | MO | Primary |
Addresses
Primary practice location
1601 E Broadway Ste 260
Columbia, MO 65201-8041
Mailing address
1601 E Broadway Ste 260
Columbia, MO 65201-8041
Phone (573) 815-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 E Broadway
Suite 260
Columbia, MO 65201-8041
Phone (573) 815-5310
Hospital & facility affiliations
- Boone Hospital Center
- Lake Regional Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gynecology Specialists, LLC | Current | Accepting new patients | |
| Boone Physician Services, LLC | Current | Accepting new patients | |
| CH Allied Services, Inc | Past | Accepting new patients | |
| Sara E. Crowder, MD | Past | Accepting new patients |
Locations
1601 E Broadway
Ste 260
Columbia, MO 65201
Phone (573) 815-2221
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1605 E Broadway
Ste 220
Columbia, MO 65201
Phone (573) 442-2221
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
1605 E Broadway
Ste 260
Columbia, MO 65201
Phone (573) 442-2221
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
- Obstetrics & Gynecology Physician
- Columbia, MO
- NPI 1427617406
-
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
-
- Specialist
- Columbia, MO
- NPI 1003119595
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
- Rural Acute Care Hospital
- Osage Beach, MO
- NPI 1386619450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1457730715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E BROADWAY STE 260",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018041",
"telephone_number": "573-815-2221",
"fax_number": "573-815-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E BROADWAY STE 260",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018041",
"telephone_number": "573-815-2221",
"fax_number": "573-815-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLETT",
"first_name": "RACHEL",
"credential": "RN, FNP-BC, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2024-10-09",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2015015185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.