MALLORY KATE REVELL (DNP) – Family Medicine Physician, NPI 1578172250
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,551 NURSE PRACTITIONER in KS
Provider Addresses for MALLORY KATE REVELL (DNP)
1701 S BROADWAY S
IRENE RANSOM BRADLEY SCHOOL OF NURSING, PSU
PITTSBURG, KS 66762
Phone: (620) 235-4431
Type: Mailing
1902 S US HIGHWAY 59
PARSONS, KS 673574948
Phone: (620) 421-4881
Type: Mailing
PO BOX 3810
JOPLIN, MO 648033810
Phone: (417) 347-3474
Type: Mailing
1020 MCINTOSH CIR STE 200
JOPLIN, MO 648043697
Phone: (417) 347-8091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-05-25 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($21).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $21 |
| Amgen Inc. | $14 |
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: 2023-07-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20221020000999 | I | Nurse Practitioner | KS | TBD |
| I20230720003028 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66762)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | KS | |
| U R O L O G Y | MO | |
| R H E U M A T O L O G Y | MO | |
| Nurse Practitioner | MO | |
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| - | MO | |
| Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists) | MO |
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