Active NPI
Mallory Lynn Roling, ARNP
- Family Nurse Practitioner
- Ida Grove, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015025931
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Hospital
Practice addresses (Care Compare)
701 E 2ND St
Ida Grove, IA 51445-1699
Hospital & facility affiliations
- Horn Memorial Hospital
- Buena Vista Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121274 | IA | MD | Registered Nurse |
| 2015025931 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ida County Iowa Community Hospital | Current | Accepting new patients | |
| Ida County Iowa Community Hospital | Family | Current | Accepting new patients |
| United Community Health Center Inc. | Current | 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
- mrolingarnp@hornmh.securechart.com
- mroling642839@direct.ochin.org
- 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.
-
- Emergency Medicine Physician
- Ida Grove, IA
- NPI 1053327775
-
- Critical Access Hospital
- Ida Grove, IA
- NPI 1265461180
-
- Federally Qualified Health Center (FQHC)
- Storm Lake, IA
- NPI 1043268659
-
- Rural Health Clinic/Center
- Holstein, IA
- NPI 1689249922
-
- Family Medicine Physician
- Ida Grove, IA
- NPI 1962635615
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Storm Lake, IA
- NPI 1134191653
-
- Critical Access Hospital
- Ida Grove, IA
- NPI 1265461180
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.