MARY E MALONEY (ANP) – Nurse Practitioner, NPI 1710592175

MARY E MALONEY (ANP) is a healthcare provider. based in Glen carbon, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 209023096 (IL). The NPI Number for MARY E MALONEY (ANP) is 1710592175

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARY E MALONEY (ANP)
NPI
1710592175
Phone
(618) 806-5967
Address
348 WESTGLEN DR
Enumeration Date
12 September 2020
Last Update Date
8 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6187677023
Graduation Year
2020 (6 years ago)
PAC ID
6608285234
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20210511001054
Address ID
IL622265342BE4315XDRXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MARY E MALONEY (ANP)

  • 348 WESTGLEN DR

    GLEN CARBON, IL 620341002

    Phone: (618) 806-5967

    Type: Mailing

  • 348 Westglen Dr

    Glen Carbon, IL 620341002

    Phone: (618) 806-5967

    Type: Location

  • 4315 MEMORIAL DR

    BELLEVILLE, IL 622265342

    Phone: (618) 767-7023

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-05-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210511001054INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes690181$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes343130$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes8361$0
99315Nursing facility discharge day management, 30 minutes or less4745$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4012$0
View full utilization report →

Insurance plans in this area (ZIP 62034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

What federal number belongs to MARY E MALONEY (ANP)?
The federal identifier for MARY E MALONEY (ANP) is NPI 1710592175.
Is MARY E MALONEY (ANP)'s NPI currently valid?
The extract we use shows MARY E MALONEY (ANP) as active.
What does MARY E MALONEY (ANP) treat or focus on?
Patients typically see MARY E MALONEY (ANP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MARY E MALONEY (ANP)'s primary listing?
We display Glen Carbon, Illinois because that is what the record indicates for MARY E MALONEY (ANP).
Is MARY E MALONEY (ANP) a real provider?
This page reflects official NPPES data for NPI 1710592175. Always confirm identity and privileges with the practice and licensing boards.

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