Individual provider Active NPI

Mallory Lynn Roling, ARNP

  • Family Nurse Practitioner
  • Ida Grove, IA
National Provider Identifier
1902259161
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015025931 Issued in IA
Practice address
700 E 2ND St
Ida Grove, IA 51445-1601
Phone
(712) 364-2514
Fax
(712) 364-4430
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 121274 IA
Family Nurse Practitioner 363LF0000X 2015025931 IA Primary

Addresses

Primary practice location

700 E 2ND St
Ida Grove, IA 51445-1601

Mailing address

700 E 2ND St
Ida Grove, IA 51445-1601
Phone (712) 364-2514

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
I20170302000858 IA Practitioner - Nurse Practitioner 1951685312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ida County Iowa Community HospitalGroup PAC ID 9537070826, shared by 7 NPIs, 12 clinicians

Practice addresses (Care Compare)

701 E 2ND St
Ida Grove, IA 51445-1699

Hospital & facility affiliations

  • Horn Memorial Hospital Hospital, Ida Grove, IA, CCN 161354
  • Buena Vista Regional Medical Center Hospital, Storm Lake, IA, CCN 161375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121274IAMDRegistered Nurse
2015025931IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ida County Iowa Community Hospital CurrentSince Mar 25, 2020 Accepting new patients
Ida County Iowa Community Hospital Family CurrentSince Mar 25, 2020 Accepting new patients
United Community Health Center Inc. CurrentSince May 3, 2023 Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients

Locations

1400 S Kiel St
Holstein, IA 51025
Phone (712) 368-3600

700 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-2514

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

520 Main St
Ste 336
Mapleton, IA 51034

715 W Milwaukee Ave
Storm Lake, IA 50588
Phone (712) 213-0109

Interoperability endpoints

  • Direct secure messaging: mrolingarnp@hornmh.securechart.com
  • Direct secure messaging: mroling642839@direct.ochin.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGGHAA

Organizations & group practices 5

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.

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1902259161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-2514",
            "fax_number": "712-364-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-2514",
            "fax_number": "712-364-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLING",
        "first_name": "MALLORY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "121274",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "2015025931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ida Grove, IA

Sources for this page

Verify at the official NPI Registry.