MALLORY ERIN KRISPINSKY PA-C
NPI 1124392154
Physician Assistant in Sylva, NC

Q: What is Mallory Krispinsky's NPI number?

The NPI number for Mallory Krispinsky is 1124392154. It was assigned to this individual provider in the NPPES registry on March 8, 2012. The provider is also known as Mallory Erin Wheeler.

Q: What is Mallory Krispinsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since March 08, 2012PECOS EnrolledAccepts Medicare Assignment

97.86/100

CMS Quality Rating

61 BONNIE LN, SYLVA, NC 28779(828) 631-1852(828) 565-0465 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Jul 29, 2024, Jul 19, 2024 and 5 more (8 updates tracked since 2016).

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About Mallory Erin Krispinsky Pa-c NPPES

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

MALLORY ERIN KRISPINSKY PA-C (NPI 1124392154) is an individual physician assistant in Sylva, North Carolina and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Saint Louis University School Of Medicine (2011).

NPPES Registry Identity

NPI1124392154

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMALLORY ERIN KRISPINSKYCredential: PA-C

Location Address61 BONNIE LNSylva, NC 28779-8511

Mailing Address61 Bonnie LnSylva, NC 28779-8511 · (828) 631-1852 · Fax (828) 565-0465

Phone(828) 631-1852

Fax(828) 565-0465

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2011

Enumeration DateMarch 8, 2012

Last NPPES UpdateAugust 15, 20248 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1124392154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

61 BONNIE LN, Sylva, NC 28779

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Other Names 1

Former Name (1)Mallory Erin Wheeler

Secondary Practice Locations 2

Location 1243 Jones Cove RdClyde, NC 28721-9483 · Phone (828) 631-1852

Location 2197 Riverview StFranklin, NC 28734-2611 · Phone (828) 631-1852

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next and more.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 Erin Krispinsky Pa-c 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 ID9739344334

PECOS Enrollment IDI20240814001447

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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345

Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.

2,800 services13 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

714 services135 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

307 services277 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

194 services178 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

132 services114 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

100 services98 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services74 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

65 services65 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

49 services47 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

31 services20 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

30 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

16 services15 patients

Application of light with debridement to destroy precancer skin growth 96574

This procedure involves applying a special light source to the skin after removing dead tissue (debridement). The light helps destroy precancerous growths, preventing them from developing into skin cancer. It's a safe and effective method to keep your skin healthy.

16 services15 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28779 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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.

97.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.11

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

PATTERSON DERMATOLOGY, PC

Dermatology

61 BONNIE LN
SYLVA, NC 28779

Jackson County (828) 631-1852

REBECCA ELIZABETH MANRING NP-C

Nurse Practitioner

61 BONNIE LN
SYLVA, NC 28779

Jackson County (828) 631-1852

MR. TIMOTHY AUGUST PA-C

Physician Assistant

61 BONNIE LN
SYLVA, NC 28779

Jackson County (828) 631-1852

KYLIE SYMONE SMITH FNP-C

Nurse Practitioner (Family)

61 BONNIE LN
SYLVA, NC 28779

Jackson County (828) 631-1852

CURRENT OB/GYN WOMEN'S HEALTH CENTER, PLLC

Obstetrics & Gynecology

61 BONNIE LN
SYLVA, NC 28779

Jackson County (828) 631-1852

MRS. TRACI BUTLER LONG PA-C

Physician Assistant

61 BONNIE LN
SYLVA, NC 28779

Jackson County (828) 631-1852

DANIEL RILEY WEBB

Physician Assistant

61 BONNIE LN
SYLVA, NC 28779

Jackson County (828) 631-1852

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 Krispinsky's NPI number?

The NPI number for Mallory Krispinsky is 1124392154. It was assigned to this individual provider in the NPPES registry on March 8, 2012. The provider is also known as Mallory Erin Wheeler.

Where is Mallory Krispinsky located?

Mallory Krispinsky practices at 61 Bonnie Ln, Sylva, NC 28779. The listed phone number is (828) 631-1852.

What is Mallory Krispinsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mallory Krispinsky enrolled in Medicare?

Yes. Mallory Krispinsky 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 Krispinsky accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and CareSource and 2 other insurers list Mallory Krispinsky 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.

When was this NPI record last updated?

The NPPES record for Mallory Krispinsky was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.