Michelle M Malloy, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

C087828 Issued in IA

Practice address

105 9TH Ave
Belle Plaine, IA 52208-2200

Phone

(319) 444-3210

Fax

(319) 444-4099

NPI assigned

Oct 3, 2005

Last updated

Mar 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Michelle White Former name

Medicare fee-for-service enrollment

Enrolled in IA

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians

Marengo Memorial HospitalGroup PAC ID 0749199446, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essence of Life Hospice Hospice, Amana, IA, CCN 161580
• Compass Memorial Healthcare Hospital, Marengo, IA, CCN 161317
• Keokuk County Health Center Hospital, Sigourney, IA, CCN 161315
• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmalloy416112@direct.unitypoint.org

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.

• Marengo Memorial Hospital

  dba Compass Memorial Healthcare

  • Critical Access Hospital
  • Marengo, IA
  • NPI 1053368191
  Medicare reassignment Care Compare group NPD
• Progressive Rehabilitation Associates L.L.C.

  • Physical Therapist
  • Iowa City, IA
  • NPI 1851462865
  Care Compare group
• Marengo Memorial Hospital

  dba Marengo Family Medical Clinic

  • Rural Health Clinic/Center
  • Marengo, IA
  • NPI 1043375132

  Family Medicine

  NPD
• Marengo Memorial Hospital

  • Community/Retail Pharmacy
  • Marengo, IA
  • NPI 1811580780
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Marengo Memorial Hospital

  dba Williamsburg Family Medical Clinic

  • Rural Health Clinic/Center
  • Williamsburg, IA
  • NPI 1548681216

  Family Medicine

  NPD (past)

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

• Essence of Life LLC

  dba Essence of Life Hospice

  • Community Based Hospice Care Agency
  • Amana, IA
  • NPI 1497817803
  Care Compare affiliation
• Keokuk County Health Center

  • Critical Access Hospital
  • Sigourney, IA
  • NPI 1376611103
  Care Compare affiliation
• Marengo Memorial Hospital

  dba Compass Memorial Healthcare

  • Critical Access Hospital
  • Marengo, IA
  • NPI 1053368191
  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1467449710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 9TH AVE",
            "city": "BELLE PLAINE",
            "state": "IA",
            "postal_code": "522082200",
            "telephone_number": "319-444-3210",
            "fax_number": "319-444-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 9TH AVE",
            "city": "BELLE PLAINE",
            "state": "IA",
            "postal_code": "522082200",
            "telephone_number": "319-444-3210",
            "fax_number": "319-444-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "C087828",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "C087828",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK UIQC SEIC",
            "identifier": "72238",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK    UIQC OCTC",
            "identifier": "72237",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK    UIQC NL",
            "identifier": "72239",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500030815",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467449710",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WHITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hartig Drug Co Corp (Hartig Drug Co #26)
• Iowa Physicians Clinic Medical Foundation (Belle Plaine Family Medicine)
• Tad Louis Jacobi, DC
• Tara Lee Kannas, DPT
• Kingdom Dental Care
• MCLD Corporation (Belle Plaine Pharmacy)
• Bryon Lee Palmer, D.D.S.
• Carla Reed
• Chassidy Alisa Ruby, ARNP
• Carrie Jo Sayre, PHARMD

• Nurse Practitioner in Belle Plaine, IA
• Providers in Belle Plaine, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.