Individual provider Active NPI

Mallory Martin Allen, PA

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1588925895
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
16684 Issued in TN
Practice address
1932 Alcoa Hwy
BLDG. C Ste 270
Knoxville, TN 37920-1527
Phone
(865) 251-4658
NPI assigned
Jun 4, 2012
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16684 TN Primary

Addresses

Primary practice location

1932 Alcoa Hwy
BLDG. C Ste 270
Knoxville, TN 37920-1527

Mailing address

1932 Alcoa Hwy
BLDG. C Ste 270
Knoxville, TN 37920-1527
Phone (865) 251-4658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120718000082 TN Practitioner - Nurse Practitioner 9537325642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite 270
Knoxville, TN 37920-1537
Phone (865) 251-4658

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jul 1, 2020 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc Nurse Practitioner CurrentSince Jul 1, 2020 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients
Regional Trauma Surgeons Past Accepting new patients
University General Surgeons, P. C. Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1932 Alcoa Hwy
Ste 270
Knoxville, TN 37920
Phone (865) 251-4658

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Organizations & group practices 6

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1588925895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "BLDG. C STE 270",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201527",
            "telephone_number": "865-251-4658",
            "fax_number": "865-251-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "BLDG. C STE 270",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201527",
            "telephone_number": "865-251-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MALLORY",
        "middle_name": "MARTIN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "16684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.