Individual provider Active NPI

Bobbie Lona Mallari, ARNP AGPCNP

  • Adult Health Nurse Practitioner
  • Maquoketa, IA
National Provider Identifier
1518704592
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
H186254 Issued in IA
Practice address
918 W Platt St Ste 1
Maquoketa, IA 52060-2063
Phone
(563) 652-5145
NPI assigned
Jul 9, 2024
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X H186254 IA Primary

Addresses

Primary practice location

918 W Platt St Ste 1
Maquoketa, IA 52060-2063

Mailing address

918 W Platt St Ste 1
Maquoketa, IA 52060-2063
Phone (563) 652-5145

Other names 1

  • Bobbie Lona Nienkark Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251016004666 IA Practitioner - Nurse Practitioner 5890282347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

918 W Platt St
Suite 1
Maquoketa, IA 52060-2063
Phone (563) 652-5145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Maquoketa, P.C. CurrentSince Oct 1, 2025 Accepting new patients
Medical Associates of Maquoketa PC Current Accepting new patients
Medical Associates of Maquoketa PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

918 W Platt St
Ste 1
Maquoketa, IA 52060
Phone (563) 652-5145

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72434

Organizations & group practices 3

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 1

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1518704592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST STE 1",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602063",
            "telephone_number": "563-652-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST STE 1",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602063",
            "telephone_number": "563-652-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARI",
        "first_name": "BOBBIE",
        "middle_name": "LONA",
        "name_prefix": "Mrs.",
        "credential": "ARNP AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H186254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBIE",
            "last_name": "NIENKARK",
            "middle_name": "LONA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maquoketa, IA

Sources for this page

Verify at the official NPI Registry.