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Active NPI 1447611496 Individual Practitioner Female Practitioner

Mallory B Haji , CRNP

Nurse Practitioner • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mallory Haji, CRNP is a certified Nurse Practitioner practicing in Fort Wayne, IN. With approximately 11 years of clinical experience since completing medical education in 2015, Mallory Haji delivers high-quality medical care to the local community at 11104 PARKVIEW CIRCLE DR STE 110.

Mallory Haji is affiliated with Parkview Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11104 Parkview Circle Dr Ste 110

Fort Wayne, IN 468451673

Telephone 2604256780
Fax 2604256789
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +1.8 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Haji (11 Years) 11 Yrs
Fort Wayne Specialty Average (9.2 Years) 9.2 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
18 13 $196.00 $93.39

Medical Specialties & State Licenses

CMS Verified: 2024-09-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71011134A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License MD R204051

Definition to come...

Hospital & Practice Group Affiliations

Parkview Health System Inc

11104 Parkview Circle Dr, Fort Wayne, IN 468451672

Phone: 2062665400

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Doctor of Osteopathic Medicine (D.O.)

Nicole Hagen

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Dr. Tyler Atkins , MD

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NPI 1114331493

Doctor of Medicine (M.D.)

Dr. Kevin Bui , MD

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NPI 1144727546

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated September 09, 2024

Recorded as MALLORY HAJI, CRNP

📍
Updated Practice Location May 25, 2021

Registered at 11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 468451673 (Tel: 2604256780)

📍
Updated Business Mailing Address May 25, 2021

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

📍
Updated Practice Location May 01, 2018

Registered at 1800 ORLEANS ST # 81504, BALTIMORE, MD 212870010 (Tel: 4109558070)

📍
Updated Business Mailing Address May 01, 2018

Registered at 9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 212364902 (Tel: 4109332704)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2018

Nurse Practitioner (License #R204051 in MD)

NPI Profile Active March 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2016

Registered at 2834 HUDSON ST, BALTIMORE, MD 212244803 (Tel: 8162842155)

📍
Updated Business Mailing Address March 17, 2016

Registered at 2834 HUDSON ST, BALTIMORE, MD 212244803 (Tel: 8162842155)

👤
Provider Name / Credentials Updated March 17, 2016

Recorded as MALLORY TROSPER, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2016

Registered Nurse (License #R204051 in MD)

🟢
Initial NPI Registration & Enumeration March 17, 2016

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: 1447611496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2016
Last Update: September 09, 2024
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

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.