MRS. STEPHANIE CHRISTINE MALLGRAVE CRNP
NPI 1104280312
Nurse Practitioner - Family in Philadelphia, PA

Active since April 13, 2016
86.42/100
CMS Quality Rating
1500 SPRUCE ST, PHILADELPHIA, PA 19102(866) 389-2727 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2021, Oct 6, 2021 (2 updates tracked since 2021).

About Mrs. Stephanie Christine Mallgrave Crnp NPPES

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

MRS. STEPHANIE CHRISTINE MALLGRAVE CRNP (NPI 1104280312) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP016144) and active in the NPI registry since April 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104280312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STEPHANIE CHRISTINE MALLGRAVECredential: CRNP
Location Address1500 SPRUCE STPhiladelphia, PA 19102-4502
Mailing Address1500 Spruce StPhiladelphia, PA 19102-4502 · (866) 389-2727
Sole ProprietorNo
Enumeration DateApril 13, 2016
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
NPI 1104280312 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 PA · SP016144 Licensed in NJ · 26NJ00627600
1500 SPRUCE ST, Philadelphia, PA 19102

Secondary Practice Locations 2

Location 1824 N Black Horse PikeRunnemede, NJ 08078-1034 · Phone (866) 389-2727
Location 2360 Route 73 SMarlton, NJ 08053-2004 · Phone (856) 596-7010

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.

86.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.04
Promoting Interoperability82
Improvement Activities40
Cost91.69

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
1500 SPRUCE ST
PHILADELPHIA, PA 19102
Nurse Practitioner (Family)
1500 SPRUCE ST
PHILADELPHIA, PA 19102
Nurse Practitioner (Family)
1500 SPRUCE ST
PHILADELPHIA, PA 19102
Pharmacist
1500 SPRUCE ST
PHILADELPHIA, PA 19102
Nurse Practitioner (Family)
1500 SPRUCE ST
PHILADELPHIA, PA 19102
Nurse Practitioner (Family)
1500 SPRUCE ST
PHILADELPHIA, PA 19102
Nurse Practitioner (Family)
1500 SPRUCE ST
PHILADELPHIA, PA 19102
Pharmacist
1500 SPRUCE ST
PHILADELPHIA, PA 19102

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 Stephanie Mallgrave's NPI number?

The NPI number for Stephanie Mallgrave is 1104280312. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Stephanie Mallgrave located?

Stephanie Mallgrave practices at 1500 Spruce St, Philadelphia, PA 19102. The listed phone number is (866) 389-2727.

What is Stephanie Mallgrave's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephanie Mallgrave was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.