Active NPI
Mallory Hensel, MSN, CRNP, AGPCNP-BC
- Adult Health Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP018580
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
170 Middletown Blvd
Suite 101
Langhorne, PA 19047-3200
Phone (215) 757-8100
Hospital & facility affiliations
- Mercy Home Health
- St Mary Medical Center
- Hospital of Univ of Pennsylvania
- Lower Bucks Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN653855 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lofts Medical Associates,PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Langhorne, PA
- NPI 1306019450
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newtown, PA
- NPI 1467412296
-
- General Acute Care Hospital
- Bristol, PA
- NPI 1528319621
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.