Individual provider Active NPI

Mallory Hensel, MSN, CRNP, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1922504299
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP018580 Issued in PA
Practice address
536 Rodman St Apt a
Philadelphia, PA 19147-1433
Phone
(215) 620-2536
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN653855 PA
Gerontology Nurse Practitioner 363LG0600X SP018580 PA
Adult Health Nurse Practitioner 363LA2200X SP018580 PA Primary

Addresses

Primary practice location

536 Rodman St Apt a
Philadelphia, PA 19147-1433

Mailing address

536 Rodman St Apt a
Philadelphia, PA 19147-1433
Phone (215) 620-2536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181227001619 PA Practitioner - Nurse Practitioner 4082959747 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
Telehealth
Offers telehealth services
Group practices
Lofts Medical Associates,PCGroup PAC ID 9638248214, 12 clinicians

Practice addresses (Care Compare)

170 Middletown Blvd
Suite 101
Langhorne, PA 19047-3200
Phone (215) 757-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN653855PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lofts Medical Associates,PC CurrentSince Jan 1, 2019 Accepting new patients

Locations

170 Middletown Blvd
Ste 100
Langhorne, PA 19047
Phone (215) 757-8100

170 Middletown Blvd
Ste 101
Langhorne, PA 19047
Phone (215) 757-8100

Interoperability endpoints

  • Direct secure messaging: mhensel2018273@direct.trinity-health.org

Organizations & group practices 1

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 5

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1922504299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 RODMAN ST APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471433",
            "telephone_number": "215-620-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 RODMAN ST APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471433",
            "telephone_number": "215-620-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSEL",
        "first_name": "MALLORY",
        "credential": "MSN, CRNP, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN653855",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP018580",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP018580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.