Individual provider Active NPI

Ally Pinkley

  • Pediatric Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1588429807
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
53-82901-32 Issued in KS
Practice address
2711 S Rouse St Ste B
Pittsburg, KS 66762-6621
Phone
(620) 235-7612
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 53-82901-32 KS Primary

Addresses

Primary practice location

2711 S Rouse St Ste B
Pittsburg, KS 66762-6621

Mailing address

1581 S Country Club Rd
Carthage, MO 64836-8402
Phone (417) 388-4603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240306002551 KS Practitioner - Nurse Practitioner 2163868738 Reassigns benefits to 2 organizations
I20251124000365 MO Practitioner - Nurse Practitioner 2163868738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Chicago, IL 60677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-82901-32KSMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Laboratory Associates, Inc. Current Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Mercy Clinic Pittsburg LLC CurrentSince Jul 23, 2024 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Nov 24, 2025 Accepting new patients
Regional Medical Laboratory, Inc Current Accepting new patients
Mercy Hospital Carthage CurrentSince Dec 5, 2025 Accepting new patients
Mercy Hospital Carthage CurrentSince Dec 5, 2025 Accepting new patients

Locations

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

1615 Hazel Ave
Carthage, MO 64836
Phone (417) 358-0188

202 E 50th St
Joplin, MO 64804
Phone (417) 556-3400

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1588429807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 S COUNTRY CLUB RD",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648368402",
            "telephone_number": "417-388-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 S ROUSE ST STE B",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626621",
            "telephone_number": "620-235-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKLEY",
        "first_name": "ALLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "53-82901-32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.