Active NPI 1780125278 Individual Practitioner Female Practitioner

Mallory R. Waltrip , APRN

Nurse Practitioner - Gerontology • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mallory Waltrip, APRN is a certified Nurse Practitioner - Gerontology practicing in Springfield, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Mallory Waltrip delivers high-quality medical care to the local community at 900 N 1ST ST.

Mallory Waltrip maintains professional affiliations with Springfield Clinic, Llp, St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, iron sucrose, 1 mg, injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

900 N 1st St

Springfield, IL 627023749

Telephone 2175287541

Associated Practice Facility / Clinic

🏢 Springfield Clinic, Llp Facility NPI 1780638478

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Springfield, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +1.5 yrs vs City Avg

City Avg: 8.5 Yrs

State Avg: 9.0 Yrs

Regional Practice Density

15 Specialists

Practicing in Springfield, IL (294 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waltrip (10 Years) 10 Yrs

Springfield Specialty Average (8.5 Years) 8.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1756 Injection, iron sucrose, 1 mg	8,800	25	$1.60	$0.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg	428	15	$0.66	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	188	$584.07	$106.99
36415 Insertion of needle into vein for collection of blood sample	162	104	$8.81	$8.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	155	90	$82.00	$7.61
J7050 Infusion, normal saline solution, 250 cc	133	45	$5.00	$0.65
80047 Blood test, basic group of blood chemicals (calcium, ionized)	94	46	$119.96	$13.46
96375 Injection of additional new drug or substance into vein	69	15	$89.48	$12.33
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	64	35	$314.52	$49.85
96413 Infusion of chemotherapy into a vein up to 1 hour	55	23	$689.18	$102.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	14	$53.09	$11.73
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	35	15	$157.43	$22.71
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$410.54	$75.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1756 Injection, iron sucrose, 1 mg	15,000	27	$1.60	$0.20
J9271 Injection, pembrolizumab, 1 mg	6,200	11	$99.00	$53.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg	456	19	$0.64	$0.12
J2469 Injection, palonosetron hcl, 25 mcg	270	12	$79.00	$0.98
J7050 Infusion, normal saline solution, 250 cc	242	72	$5.00	$0.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	161	$526.01	$104.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	111	62	$82.00	$7.61
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	106	42	$311.00	$50.50
99213 Established patient office or other outpatient visit, typically 15 minutes	89	78	$348.70	$74.25
96413 Infusion of chemotherapy into a vein up to 1 hour	83	40	$679.00	$102.44
80047 Blood test, basic group of blood chemicals (calcium, ionized)	77	37	$118.00	$13.46
36415 Insertion of needle into vein for collection of blood sample	71	42	$6.00	$5.88
96375 Injection of additional new drug or substance into vein	61	25	$88.00	$12.27
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	43	16	$149.00	$26.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	20	$50.00	$11.39
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	39	17	$155.00	$22.87
96417 Administration of additional new drug or substance into vein, 1 hour or less	23	11	$319.00	$50.93
96415 Administration of chemotherapy into vein, each additional hour	15	11	$149.00	$22.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	308	19	$0.64	$0.12
J2469 Injection, palonosetron hcl, 25 mcg	190	13	$79.00	$1.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	135	$437.49	$105.85
99213 Established patient office or other outpatient visit, typically 15 minutes	126	115	$278.33	$75.50
J7050 Infusion, normal saline solution, 250 cc	78	39	$5.00	$0.66
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	45	$82.00	$7.63
96375 Injection of additional new drug or substance into vein	49	19	$88.00	$12.78
96413 Infusion of chemotherapy into a vein up to 1 hour	49	31	$679.00	$108.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	36	$178.00	$32.49
36415 Insertion of needle into vein for collection of blood sample	41	33	$6.00	$2.95
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	30	19	$155.00	$24.18
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	29	18	$311.00	$53.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$624.00	$113.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	16	$49.23	$11.61
80047 Blood test, basic group of blood chemicals (calcium, ionized)	26	22	$118.00	$13.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	16	$178.00	$32.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	19	$624.00	$115.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	95	$135.00	$61.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	282	198	$135.00	$60.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	166	$201.00	$88.90
36415 Insertion of needle into vein for collection of blood sample	27	27	$20.00	$2.94
G0008 Administration of influenza virus vaccine	13	13	$37.00	$19.39
G0009 Administration of pneumococcal vaccine	12	12	$37.00	$19.39
90670 Pneumococcal vaccine for injection into muscle	11	11	$267.00	$199.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	230	162	$135.00	$59.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	89	$201.00	$86.53
36415 Insertion of needle into vein for collection of blood sample	26	22	$20.00	$2.86
81003 Automated urinalysis test	14	12	$8.00	$3.02

Medical Specialties & State Licenses

CMS Verified: 2026-04-07

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License IL 209015762

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License IL 209015762

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

40 Associated Practitioners

Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864

Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546

Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

Barbara Wolfson , LCPC

Counselor

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

11 Historical Events

👤

Provider Name / Credentials Updated January 19, 2024

Recorded as MALLORY WALTRIP, APRN

📍

Updated Practice Location October 12, 2021

Registered at 900 N 1ST ST, SPRINGFIELD, IL 627023749 (Tel: 2175287541)

📍

Updated Business Mailing Address October 12, 2021

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2021

Nurse Practitioner (License #209015762 in IL)

👤

Provider Name / Credentials Updated May 18, 2018

Recorded as MALLORY MCKINNIE, APRN

✅

NPI Profile Active March 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2017

Registered at 113 E SEIBERLING STREET, BLUE MOUND, IL 62513 (Tel: 2173219310)

📍

Updated Business Mailing Address March 16, 2017

Registered at 113 E SEIBERLING STREET, BLUE MOUND, IL 62513 (Tel: 2173219310)

👤

Provider Name / Credentials Updated March 16, 2017

Recorded as MALLORY RAHAR

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2017

Nurse Practitioner (License #209.015762 in IL)

🟢

Initial NPI Registration & Enumeration March 16, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Mallory Waltrip. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1780125278

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 16, 2017

Last Update: April 07, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

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.