MALLORY A PLUNKETT AA
NPI 1972122448
Anesthesiologist Assistant in Milwaukee, WI

Active since April 14, 2020Accepts Medicare Assignment
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 649-6000 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2021, May 18, 2021, Jun 30, 2020 and 1 more (4 updates tracked since 2020).

About Mallory A Plunkett Aa NPPES

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

MALLORY A PLUNKETT AA (NPI 1972122448) is an individual anesthesiologist assistant in Milwaukee, Wisconsin, licensed in Wisconsin (162-017) and active in the NPI registry since April 2020. She is affiliated with Thedacare Regional Med Ctr - Neenah, maintains a secondary practice location in Sheboygan Falls, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2020).

NPPES Registry Identity

NPI1972122448
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameMALLORY A PLUNKETTCredential: AA
Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 389-2131
Sole ProprietorYes
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateJune 26, 20234 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
NPI 1972122448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in WI · 162-017
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
2900 W OKLAHOMA AVE, Milwaukee, WI 53215

Other Names 1

Former Name (1)Mallory A Mews Aa

Secondary Practice Location 1

Location 11197 Edelweiss Ln Unit 6Sheboygan Falls, WI 53085-1138 · Phone (920) 207-4907

Other Identifiers 1

Medicaid100100845WI

Accepted Insurance

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 A Plunkett Aa 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 ID6507280153
PECOS Enrollment IDI20200716000498

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

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.

Clinic/Center (Primary Care)
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Anesthesiology
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Hospitalist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physician Assistant
2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Pharmacist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

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 Plunkett's NPI number?

The NPI number for Mallory Plunkett is 1972122448. It was assigned to this individual provider in the NPPES registry on April 14, 2020. The provider is also known as Mallory A Mews Aa.

Where is Mallory Plunkett located?

Mallory Plunkett practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 649-6000.

What is Mallory Plunkett's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Mallory Plunkett enrolled in Medicare?

Yes. Mallory Plunkett 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.

What insurance does Mallory Plunkett accept?

Health plans from CareSource (Common Ground Healthcare) list Mallory Plunkett 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 Plunkett affiliated with any hospitals?

According to CMS data, Mallory Plunkett is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Mallory Plunkett was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.