Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972012482 Individual Practitioner Female Practitioner

Mallory Driscoll , PA-C

Physician Assistant • Eagle River, AK

Professional Overview & Biography Verified Profile Summary

Mallory Driscoll, PA-C is a registered healthcare professional specializing in Physician Assistant in Eagle River, AK. Practice services are available at 17025 SNOWMOBILE LN under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, assessment of emotional or behavioral problems. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17025 Snowmobile Ln

Eagle River, AK 995777044

Telephone 9076967466
Associated Practice Facility / Clinic
🏢 Kay Zwiacher, Llc Facility NPI 1629391685

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eagle River, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Eagle River, AK (551 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
26 13 $243.15 $103.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
20 20 $222.00 $88.64

Medical Specialties & State Licenses

CMS Verified: 2023-05-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AK 153300

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MN 13162

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License UT 11674343-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License ND PAC0801

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1478531 (ND)
Medicaid State Provider ID
1972012482 (MN)
Medicaid State Provider ID
1699289 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Leska James , ANP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154768323

Adult Nurse Practitioner

Dr. Arom Evans , MD

Psychiatry & Neurology - Psychiatry

NPI 1417055575

Doctor of Medicine (M.D.)

Shannon Pfau , RN BSN

Registered Nurse

NPI 1508677436

RNBSN

Hanna Wade , MSW

Social Worker - Clinical

NPI 1528432358

Master of Social Work

Kaila Hayes

Registered Nurse - Psychiatric/Mental Health, Child & Adolescent

NPI 1548627680
Kierra Brecht

Psychologist - Clinical

NPI 1639763022

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location May 23, 2023

Registered at 17025 SNOWMOBILE LN, EAGLE RIVER, AK 995777044 (Tel: 9076967466)

📍
Updated Business Mailing Address May 23, 2023

Registered at 17025 SNOWMOBILE LN, EAGLE RIVER, AK 995777044 (Tel: 9076967466)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2020

Physician Assistant (License #13162 in MN)

📍
Updated Practice Location January 03, 2020

Registered at 4700 S WASHINGTON ST STE G, GRAND FORKS, ND 582018123 (Tel: 7012053000)

📍
Updated Business Mailing Address January 03, 2020

Registered at PO BOX 5210, GRAND FORKS, ND 582065210 (Tel: 7012053000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2020

Physician Assistant (License #PAC0801 in ND)

NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2017

Registered at 2006 BIRDIE THOMPSON DR, POCATELLO, ID 832012768 (Tel: (208) 232-1132)

📍
Updated Business Mailing Address September 27, 2017

Registered at 2006 BIRDIE THOMPSON DR, POCATELLO, ID 832012768 (Tel: 2082321132)

👤
Provider Name / Credentials Updated September 27, 2017

Recorded as MALLORY DRISCOLL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972012482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2017
Last Update: May 23, 2023
Sole Proprietor: No

Mailing Address

17025 Snowmobile Ln

Eagle River, AK 995777044

Phone: 9076967466

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.