Individual provider Active NPI

Cortney Mahony, APRN, FNP-C

  • Family Nurse Practitioner
  • Emporia, KS
National Provider Identifier
1639692916
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77710 Issued in KS
Practice address
1301 W 12TH Ave Ste 202
Emporia, KS 66801-2589
Phone
(620) 342-2521
Fax
(620) 342-6520
NPI assigned
Jul 19, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 77710 KS
Family Nurse Practitioner 363LF0000X 77710 KS Primary

Addresses

Primary practice location

1301 W 12TH Ave Ste 202
Emporia, KS 66801-2589

Mailing address

1301 W 12TH Ave Ste 202
Emporia, KS 66801-2589
Phone (620) 342-2521

Other practice location 1

25601 S Croco Rd
Lyndon, KS 66451
Phone (646) 808-7463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20200419000173 NE Practitioner - Nurse Practitioner 9032475033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4661

3308 Samson Way
Bellevue, NE 68123-3234
Phone (402) 291-3373

3320 A Ave
Kearney, NE 68847-2931
Phone (308) 865-2363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77710KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince May 1, 2021 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

3320 A Ave
Kearney, NE 68847
Phone (308) 865-2363

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Interoperability endpoints

  • Direct secure messaging: cortneymahony@cneb.allscriptsdirect.net

Organizations & group practices 2

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 2

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639692916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 202",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012589",
            "telephone_number": "620-342-2521",
            "fax_number": "620-342-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 202",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012589",
            "telephone_number": "620-342-2521",
            "fax_number": "620-342-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25601 S Croco Rd",
            "address_purpose": "LOCATION",
            "city": "Lyndon",
            "state": "KS",
            "postal_code": "66451",
            "country_code": "US",
            "telephone_number": "646-808-7463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONY",
        "first_name": "CORTNEY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "77710",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.