Mallory L Kirscher

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A154521 Issued in IA

Practice address

1610 W Townline St
Creston, IA 50801-1066

Phone

(641) 782-2131

Fax

(641) 782-6425

NPI assigned

May 15, 2019

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

Other names 1

• Mallory L Marquis Former name

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Regional Medical Center 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greater Regional Medical Center Hospital, Creston, IA, CCN 161365

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Greater Regional Medical Center

  • Critical Access Hospital
  • Creston, IA
  • NPI 1902805062

  IA

  Medicare reassignment Care Compare group NPD
• Greater Regional Medical Center

  • Rural Health Clinic/Center
  • Corning, IA
  • NPI 1275048977
  Care Compare group
• Greater Regional Medical Center

  • Rural Health Clinic/Center
  • Lenox, IA
  • NPI 1346353323
  Care Compare group
• Greater Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Creston, IA
  • NPI 1639180748
  Care Compare group
• Greater Regional Medical Center

  • Rural Health Clinic/Center
  • Mount Ayr, IA
  • NPI 1639684335
  Care Compare group
• Greater Regional Medical Center

  • Rural Health Clinic/Center
  • Greenfield, IA
  • NPI 1194406223

  Nurse Practitioner

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greater Regional Medical Center

  • Critical Access Hospital
  • Creston, IA
  • NPI 1902805062

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1831755834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011054",
            "telephone_number": "641-782-7091",
            "fax_number": "641-782-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011066",
            "telephone_number": "641-782-2131",
            "fax_number": "641-782-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHER",
        "first_name": "MALLORY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A154521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "MARQUIS",
            "middle_name": "L",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kubat Pharmacy, LLC
• Todd Allen Kucera, M.D.
• Robert M Kuhl, M.D.

• All providers in Creston, IA
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.