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IAN MALL
NPI 1144689456
Clinical Nurse Specialist - Home Health in Ooltewah, TN

Active since February 15, 2016PECOS Enrolled
9981 FORREST DR, OOLTEWAH, TN 37363(423) 362-8192 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ian Mall NPPES

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

IAN MALL (NPI 1144689456) is an individual home health provider in Ooltewah, Tennessee, licensed in Tennessee (20836) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144689456
Entity TypeIndividualMale
Primary Taxonomy364SH0200X
Provider Legal NameIAN MALL
Location Address9981 FORREST DROoltewah, TN 37363-8300
Mailing Address9981 Forrest DrOoltewah, TN 37363-8300 · (423) 362-8192
Phone(423) 362-8192
Sole ProprietorYes
Enumeration DateFebruary 15, 2016
✔ NPI 1144689456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Home HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SH0200X
License✔ Licensed in TN · 20836
9981 FORREST DR, Ooltewah, TN 37363
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Other Names 1

Professional Name (2)Ian Mall Fnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Mall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37363 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Ian Mall's NPI number?

The NPI number for Ian Mall is 1144689456. It was assigned to this individual provider in the NPPES registry on February 15, 2016. The provider is also known as Ian Mall Fnp.

Where is Ian Mall located?

Ian Mall practices at 9981 Forrest Dr, Ooltewah, TN 37363. The listed phone number is (423) 362-8192.

What is Ian Mall's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Home Health, with taxonomy code 364SH0200X.

Is Ian Mall enrolled in Medicare?

Yes. Ian Mall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Mall was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.