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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MALLORY KEPPEL
NPI 1558276147
Nurse Practitioner in Wildwood, MO

Active since August 17, 2026
18615 HARDT RD, WILDWOOD, MO 63038(314) 609-0002 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mallory Keppel NPPES

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

MALLORY KEPPEL (NPI 1558276147) is an individual nurse practitioner in Wildwood, Missouri, licensed in Missouri (2026038618) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1558276147
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALLORY KEPPEL
Location Address18615 HARDT RDWildwood, MO 63038-1111
Mailing Address18615 Hardt RdWildwood, MO 63038-1111 · (314) 609-0002
Phone(314) 609-0002
Sole ProprietorNo
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1558276147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2026038618
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
18615 HARDT RD, Wildwood, MO 63038
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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 Keppel's NPI number?

The NPI number for Mallory Keppel is 1558276147. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Mallory Keppel located?

Mallory Keppel practices at 18615 Hardt Rd, Wildwood, MO 63038. The listed phone number is (314) 609-0002.

What is Mallory Keppel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mallory Keppel was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.