Jessica Lynn Malahy, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F08220360 Issued in MO

Practice address

2685 E Main St
Jackson, MO 63755-2582

Phone

(573) 204-1400

NPI assigned

May 15, 2024

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCHGBA/Endpoint/BCHGBA

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.

• Jackson Primary Care LLC

  • Family Medicine Physician
  • Jackson, MO
  • NPI 1619961380

  MO

  Medicare reassignment NPD
• Jackson Primary Care LLC

  • Primary Care Clinic/Center
  • Jackson, MO
  • NPI 1790213676
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1497504252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 E MAIN ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552582",
            "telephone_number": "573-204-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 E MAIN ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552582",
            "telephone_number": "573-204-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAHY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F08220360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Lindsley, JD, BSN, RN
• Angela Logel
• Kylie Shea Lossing, PTA
• Carol Sue Ludwig, PHD CCC SP
• Mackenzie Lynch
• Christina Susan Margrabe, PT, ATRIC
• Shelley Rae Martini, PTA
• Amy Elizabeth Massa, RN, FNP-BC
• Jolie McCallister
• Karen McClellan

• All providers in Jackson, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.