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MALLORY ELIZABETH STITH CRNA
NPI 1639539141
Nurse Anesthetist, Certified Registered in Kennett, MO

Active since February 25, 2016Accepts Medicare Assignment
1301 1ST ST, KENNETT, MO 63857(573) 718-4038 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Elizabeth Stith Crna NPPES

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

MALLORY ELIZABETH STITH CRNA (NPI 1639539141) is an individual nurse anesthetist, certified registered in Kennett, Missouri, licensed in Missouri (2016005888) and active in the NPI registry since February 2016. She is affiliated with Poplar Bluff Regional Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639539141
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMALLORY ELIZABETH STITHCredential: CRNA
Location Address1301 1ST STKennett, MO 63857-2525
Mailing Address40 Kathy CvPoplar Bluff, MO 63901-2095 · (573) 718-4038
Phone(573) 718-4038
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 25, 2016
✔ NPI 1639539141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MO · 2016005888
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1301 1ST ST, Kennett, MO 63857
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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 Elizabeth Stith 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.

PECOS PAC ID1951607456
PECOS Enrollment IDI20160309002038

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
27 services26 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
25 services24 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63857 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

SAVANNAH COIN NURSE PRACTITIONER
Nurse Practitioner (Family)
1301 1ST ST
KENNETT, MO 63857
Dunklin County (573) 888-8413
MISSOURI EMERGENCY PHYSICIAN PARTNERS LLC
Emergency Medicine
1301 1ST ST
KENNETT, MO 63857
Dunklin County (877) 693-5700
KENNETT HMA LLC
Psychiatric Unit
1301 1ST ST
KENNETT, MO 63857
Dunklin County (573) 888-8421
KENNETT RADIOLOGY ASSOCIATES
Radiology (Diagnostic Radiology)
1301 1ST ST
KENNETT, MO 63857
Dunklin County (573) 888-8424
KENNETT HMA PHYSICIAN MANAGEMENT, INC.
Nurse Anesthetist, Certified Registered
1301 1ST ST
KENNETT, MO 63857
Dunklin County (573) 888-8424
TWIN RIVERS EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1301 1ST ST, EMERGENCY DEPARTMENT
KENNETT, MO 63857
Dunklin County (573) 888-4522
KENNETT HMA LLC
General Acute Care Hospital
1301 1ST ST
KENNETT, MO 63857
Dunklin County (573) 888-8421
KENNETT HMA INC
Clinic/Center (Rural Health)
1301 1ST ST
KENNETT, MO 63857
Dunklin County (573) 888-4522

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 Stith's NPI number?

The NPI number for Mallory Stith is 1639539141. It was assigned to this individual provider in the NPPES registry on February 25, 2016.

Where is Mallory Stith located?

Mallory Stith practices at 1301 1st St, Kennett, MO 63857. The listed phone number is (573) 718-4038.

What is Mallory Stith's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mallory Stith enrolled in Medicare?

Yes. Mallory Stith 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.

Is Mallory Stith affiliated with any hospitals?

According to CMS data, Mallory Stith is affiliated with Poplar Bluff Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mallory Stith was last updated on February 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.