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MALLORY RENEE WITTIG FNP
NPI 1114285517
Nurse Practitioner - Family in Metropolis, IL

Active since April 24, 2012PECOS EnrolledAccepts Medicare Assignment
12 HOSPITAL DR, METROPOLIS, IL 62960(618) 524-2182(618) 524-2451 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2018, May 3, 2018 (2 updates tracked since 2018).

About Mallory Renee Wittig Fnp NPPES

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

MALLORY RENEE WITTIG FNP (NPI 1114285517) is an individual family provider in Metropolis, Illinois, licensed in Illinois (209009469) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Massac Memorial Hospital, and maintains a secondary practice location in Metropolis.

NPPES Registry Identity

NPI1114285517
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY RENEE WITTIGCredential: FNP
Location Address12 HOSPITAL DRMetropolis, IL 62960-2461
Mailing Address12 Hospital DrMetropolis, IL 62960-2461 · (618) 524-2182 · Fax (618) 524-2451
Phone(618) 524-2182
Fax(618) 524-2451
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 24, 2012
Last NPPES UpdateMay 9, 20182 updates tracked since enumeration
✔ NPI 1114285517 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
License✔ Licensed in IL · 209009469
12 HOSPITAL DR, Metropolis, IL 62960
Open in Google Maps ↗

Secondary Practice Location 1

Location 128 Chick StMetropolis, IL 62960-2467 · Phone (618) 524-2176 · Fax (618) 524-4131

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 Renee Wittig 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 ID3870743883
PECOS Enrollment IDI20121029000755
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 2

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

Massac Memorial Hospital

Critical Access Hospitals · Metropolis, IL
OwnershipProprietary
CMS Certification Number141323
Location28 Chick Street, PO Box 850Metropolis, IL 62960 · Massac County
Emergency services

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62960 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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers76 claims175 services$5.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers45 claims53 services$1.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers32 claims32 services$18.43 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers24 claims24 services$54.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers37 claims37 services$98.71 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$4.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ALYCE HANNAN
Nurse Practitioner (Family)
12 HOSPITAL DR
METROPOLIS, IL 62960
Massac County (618) 524-2182
BHARAT K PATEL SC
Internal Medicine
12 HOSPITAL DR
METROPOLIS, IL 62960
Massac County (618) 524-2182

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 Wittig's NPI number?

The NPI number for Mallory Wittig is 1114285517. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Mallory Wittig located?

Mallory Wittig practices at 12 Hospital Dr, Metropolis, IL 62960. The listed phone number is (618) 524-2182.

What is Mallory Wittig's specialty?

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

Is Mallory Wittig enrolled in Medicare?

Yes. Mallory Wittig 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.

Is Mallory Wittig affiliated with any hospitals?

According to CMS data, Mallory Wittig is affiliated with Massac Memorial Hospital and Baptist Health Paducah.

When was this NPI record last updated?

The NPPES record for Mallory Wittig was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.