NANCY R TILSON-MALLETT MD
NPI 1346231347
Hospitalist in Kansas City, MO

NPI Status: Active since October 31, 2005

Contact Information

7900 LEES SUMMIT RD
KANSAS CITY, MO
ZIP 64139
Phone: (816) 404-6660
Fax: (816) 404-6661

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  • Individual
  • Female
  • Hospitalist
  • PECOS Enrolled

About NANCY TILSON-MALLETT

This page provides the complete NPI Profile along with additional information for Nancy Tilson-mallett, a provider established in Kansas City, Missouri with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1346231347 assigned on October 2005. The practitioner's primary taxonomy code is 208M00000X with license number 2013039025 (MO). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1346231347
Provider Name
NANCY R TILSON-MALLETT MD
Other Name
NANCY R TILSON MD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
7900 LEES SUMMIT RD KANSAS CITY, MO 64139
Location Phone
(816) 404-6660
Location Fax
(816) 404-6661
Mailing Address
2310 HOLMES ST STE 800 KANSAS CITY, MO 64108
Mailing Phone
(816) 218-2500
Is Sole Proprietor?
No
Enumeration Date
10-31-2005
Last Update Date
09-06-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
2013039025
License State
MO
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

R2K27 (MO)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

04-23033 (KS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E23390MEDICARE UPIN (02)MO 
202938445MEDICAID (05)MO 

Medicare Participation & PECOS Enrollment Status

Nancy Tilson-mallett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 64139 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.61
  • Minimum New Patient Price $55.29
  • Maximum New Patient Price $168.52
  • Average New Patient Copayment $31.9
  • Minimum New Patient Copayment $13.82
  • Maximum New Patient Copayment $42.13

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.82
  • Minimum Established Patient Price $17.6
  • Maximum Established Patient Price $137.2
  • Average Established Patient Copayment $24.45
  • Minimum Established Patient Copayment $4.4
  • Maximum Established Patient Copayment $34.3

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346231347, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 4 + 3 + 2 + 3 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1346231347.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Family Medicine
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Emergency Medicine
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Family Medicine
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Family Medicine
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Family Medicine
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Internal Medicine
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Psychologist (Clinical)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Chiropractor
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Anesthesiology
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Chiropractor
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Chiropractor
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Anesthesiology
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Dentist (General Practice)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Chiropractor
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Emergency Medicine
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Social Worker (Clinical)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Counselor (Mental Health)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Physical Medicine & Rehabilitation
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Psychologist (Clinical)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346231347, enumerated as an "individual" on October 31, 2005.

The provider is located at 7900 LEES SUMMIT RD KANSAS CITY, MO 64139 and the phone number is (816) 404-6660.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.