MALLORY WIESEN MCLOONE CRNA
NPI 1144630625
Nurse Anesthetist, Certified Registered in Jackson, MI
About Mallory Wiesen Mcloone Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY WIESEN MCLOONE CRNA (NPI 1144630625) is an individual nurse anesthetist, certified registered in Jackson, Michigan, licensed in Michigan (4704272649) and active in the NPI registry since May 2014. She is affiliated with Ascension Providence Hospital, Southfield And Novi, maintains 2 additional practice locations, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mallory Wiesen Mcloone Crna 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.
Medicare Billing Reassignments
8Medicare enrollment records show Mallory Mcloone reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MI 49201
- Reassigned Medicare billing, Michigan enrollment
- 107 clinicians in this Medicare group
Chelsea, MI 48118
- Reassigned Medicare billing, Michigan enrollment
- 62 clinicians in this Medicare group
Ann Arbor, MI 48108
- Reassigned Medicare billing, Michigan enrollment
- 24 clinicians in this Medicare group
Ann Arbor, MI 48109
- Reassigned Medicare billing, Michigan enrollment
- 277 clinicians in this Medicare group
Howell, MI 48843
- Reassigned Medicare billing, Michigan enrollment
- 151 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 122 clinicians in this Medicare group
Toledo, OH 43604
- Reassigned Medicare billing, Michigan enrollment
- 123 clinicians in this Medicare group
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 1,072 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence Hospital, Southfield And Novi
Acute Care Hospitals · Southfield, MIUniversity Of Michigan Health System
Acute Care Hospitals · Ann Arbor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MI 49201
JACKSON, MI 49201
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 Mcloone's NPI number?
The NPI number for Mallory Mcloone is 1144630625. It was assigned to this individual provider in the NPPES registry on May 6, 2014. The provider is also known as Mallory Wiesen Crna.
Where is Mallory Mcloone located?
Mallory Mcloone practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-7836.
What is Mallory Mcloone's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mallory Mcloone enrolled in Medicare?
Yes. Mallory Mcloone 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.
Which organizations bill Medicare for Mallory Mcloone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Mcloone reassigns Medicare benefits to 8 organizations: W.A. Foote Memorial Hospital (Jackson, MI), Chelsea Community Hospital (Chelsea, MI), American Surgical Centers - Ann Arbor LLC (Ann Arbor, MI), Regents Of The University Of Michigan (Ann Arbor, MI), Sjmhs Anesthesia Services (Howell, MI) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Mcloone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Mcloone accept?
Health plans from CareSource, Paramount and Priority Health list Mallory Mcloone 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 Mcloone affiliated with any hospitals?
According to CMS data, Mallory Mcloone is affiliated with Ascension Providence Hospital, Southfield And Novi and University Of Michigan Health System.
When was this NPI record last updated?
The NPPES record for Mallory Mcloone was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mallory Wiesen Mcloone, CRNA · NPI 1144630625
Nurse Anesthetist, Certified Registered physician in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since May 6, 2014.
## Identity
- **NPI:** 1144630625 (Entity type: Individual)
- **Enumerated:** May 6, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704272649 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 N EAST AVE, Jackson, MI 49201-1753
- **Phone:** (517) 205-7836
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): W.A. Foote Memorial Hospital (NPI 1598776718, Jackson, MI); Chelsea Community Hospital (NPI 1568542967, Chelsea, MI); American Surgical Centers - Ann Arbor LLC (NPI 1164246542, Ann Arbor, MI); Regents Of The University Of Michigan (NPI 1528010428, Ann Arbor, MI); Sjmhs Anesthesia Services (NPI 1215026281, Howell, MI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1144630625) · Data from the CMS NPPES public registry.