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MALLORY A SIMONTON FNP
NPI 1093244162
Nurse Practitioner - Family in Paris, IL

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2019, Oct 11, 2018, Jun 12, 2017 (3 updates tracked since 2017).

About Mallory A Simonton Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY A SIMONTON FNP (NPI 1093244162) is an individual family provider in Paris, Illinois, licensed in Illinois (209018013) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Paris Community Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1093244162
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY A SIMONTONCredential: FNP
Location Address1 PHIPPS LNParis, IL 61944-2919
Mailing Address2200 S Main StParis, IL 61944-2966 · (217) 463-4340
Phone(217) 463-4340
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 12, 2017
Last NPPES UpdateOctober 16, 20193 updates tracked since enumeration
✔ NPI 1093244162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209018013✔ Licensed in IN · 71007144A
1 PHIPPS LN, Paris, IL 61944
Open in Google Maps ↗

Other Names 1

Former Name (1)Mallory A Cook Fnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory A Simonton Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113296849
PECOS Enrollment IDI20181101003173
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Paris Community Hospital

Critical Access Hospitals · Paris, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141320
Location721 E Court StreetParis, IL 61944 · Edgar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61944 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
26%231 patients2/55-star benchmark: 93%
Cervical Cancer Screening
16%422 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
72%29 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
23%445 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
81%188 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
12%97 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
61%97 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,224 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
35%218 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%1,026 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
17%940 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
43%895 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 61% · 708 patients
Patients screened: 75% · 708 patients
24%135 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
61%178 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 234 patients
Patients totalRate: 4% · 244 patients
6%244 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE SHOTTS APRN
Nurse Practitioner (Family)
1 PHIPPS LN
PARIS, IL 61944
Edgar County (217) 463-4340
JANA M HAYDEN APRN
Nurse Practitioner (Family)
1 PHIPPS LN
PARIS, IL 61944
Edgar County (217) 463-4340
MS. KACEY MICHELLE MCGUIRE APRN
Nurse Practitioner (Family)
1 PHIPPS LN
PARIS, IL 61944
Edgar County (217) 463-4340
KIERSTYN MARTIN
Nurse Practitioner (Family)
1 PHIPPS LN
PARIS, IL 61944
Edgar County (217) 463-4340
HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.
Durable Medical Equipment & Medical Supplies
1 PHIPPS LN
PARIS, IL 61944
Edgar County (217) 463-4340
JOSHUA CHILDRESS
Nurse Practitioner (Family)
1 PHIPPS LN
PARIS, IL 61944
Edgar County (217) 463-4340
MIKAYLA LUMAYE APRN
Nurse Practitioner (Family)
1 PHIPPS LN
PARIS, IL 61944
Edgar County (217) 463-4340
HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.
Home Health
1 PHIPPS LN
PARIS, IL 61944
Edgar County (217) 463-4340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Simonton's NPI number?

The NPI number for Mallory Simonton is 1093244162. It was assigned to this individual provider in the NPPES registry on June 12, 2017. The provider is also known as Mallory A Cook Fnp.

Where is Mallory Simonton located?

Mallory Simonton practices at 1 Phipps Ln, Paris, IL 61944. The listed phone number is (217) 463-4340.

What is Mallory Simonton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallory Simonton enrolled in Medicare?

Yes. Mallory Simonton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mallory Simonton accept?

Health plans from CareSource list Mallory Simonton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mallory Simonton affiliated with any hospitals?

According to CMS data, Mallory Simonton is affiliated with Paris Community Hospital.

When was this NPI record last updated?

The NPPES record for Mallory Simonton was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.