MALLORY ELIZABETH STITH CRNA
NPI 1639539141
Nurse Anesthetist, Certified Registered in Kennett, MO
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
Specialties & Licenses
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 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mallory Stith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Malden, MO 63863
- Reassigned Medicare billing, Missouri enrollment
- 105 clinicians in this Medicare group
Rombauer, MO 63901
- Reassigned Medicare billing, Missouri enrollment
- 217 clinicians in this Medicare group
Forrest City, AR 72335
- Reassigned Medicare billing, Missouri enrollment
- 28 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 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.
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, MOPhysician 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.
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.
KENNETT, MO 63857
KENNETT, MO 63857
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.
Which organizations bill Medicare for Mallory Stith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Stith reassigns Medicare benefits to 3 organizations: Southeast Health Center Of Stoddard County, LLC (Malden, MO), Capital Anesthesia Solutions Of Missouri LLC (Rombauer, MO) and Rural Health Pain Management LLC (Forrest City, AR). 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 Stith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Stith accept?
Health plans from Health Advantage and Octave list Mallory Stith 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 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 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.
# Mallory Elizabeth Stith, CRNA · NPI 1639539141
Nurse Anesthetist, Certified Registered physician in Kennett, Missouri. Individual provider, active in the CMS NPPES registry since February 25, 2016.
## Identity
- **NPI:** 1639539141 (Entity type: Individual)
- **Enumerated:** February 25, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2016005888 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1301 1ST ST, Kennett, MO 63857-2525
- **Phone:** (573) 718-4038
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southeast Health Center Of Stoddard County, LLC (NPI 1316240096, Malden, MO); Capital Anesthesia Solutions Of Missouri LLC (NPI 1770185472, Rombauer, MO); Rural Health Pain Management LLC (NPI 1265039556, Forrest City, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 25, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1639539141) · Data from the CMS NPPES public registry.