MALLORY IVERSON (APN) – Nurse Practitioner, NPI 1366818692
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MALLORY IVERSON (APN)
PO BOX 6037
WAUCONDA, IL 600846037
Phone: (847) 526-2151
Type: Mailing
431 W LIBERTY ST
WAUCONDA, IL 600842452
Phone: (847) 526-2151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 159 Open Payments records for all available years, with a total value of $2,962.
Total Amount is formed as General ($2,962) + Research ($0) + Ownership ($0) = $2,962.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($519).
Total Amount
$2,962
General + Research + Ownership
Payments
159
Total payment records
General Amount
$2,962
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $519 |
| AstraZeneca Pharmaceuticals LP | $197 |
| Bayer Healthcare Pharmaceuticals Inc. | $172 |
| Paratek Pharmaceuticals, Inc. | $172 |
| Lilly USA, LLC | $166 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151117002365 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 138 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 87 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 83 | 66 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 49 | 39 | $0 |
| 99497 | Advance care planning, first 30 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 60084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | OH | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL |
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