Nurse Practitioner - Family in Fresno, CA


Sheila Mallory is a provider established in Fresno, California and her medical specialization is Nurse Practitioner with a focus in family . The NPI number of this provider is 1003000712 and was assigned on September 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 11495 (CA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

Location Address1867 E FIR AVE STE 104 FRESNO, CA 93720
Location Phone(559) 325-5876
Mailing Address1867 E FIR AVE STE 104 FRESNO, CA 93720
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date09-06-2007
Last Update Date11-19-2008

A nurse practitioner (NP) like Sheila Mallory is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75.15, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.11495
License StateCA

Business Address

1867 E FIR AVE STE 104
ZIP 93720
Phone: (559) 325-5876
Fax: (559) 325-5838

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Mailing Address

1867 E FIR AVE STE 104
ZIP 93720
Phone: (559) 325-5876
Fax: (559) 325-5838

Location Map

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 70.77
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 75.15
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 0 + 7 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003000712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568556413DR. FRANK CHANG M.D.
Radiology (Diagnostic Radiology)1867 E FIR AVE STE 104
FRESNO, CA 93720
(559) 325-5800
Radiology (Diagnostic Radiology)1867 E FIR AVE STE 104
FRESNO, CA 93720
(559) 325-5876
Radiology (Diagnostic Radiology)1867 E FIR AVE STE 104
FRESNO, CA 93720
(559) 325-5809

Frequently Asked Questions

What is Ms. Sheila Mallory N. P. NPI number?

The NPI number assigned to this healthcare provider is 1003000712, registered as an "individual" on September 06, 2007

Where is Ms. Sheila Mallory N. P. located?

The provider is located at 1867 E Fir Ave Ste 104 Fresno, Ca 93720 and the phone number is (559) 325-5876

Which is Ms. Sheila Mallory N. P. specialty?

The provider's speciality is Nurse Practitioner with a focus in Family

How do I update my NPI information?

The NPI record of Ms. Sheila Mallory N. P. was last updated on September 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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