Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497576052 Individual Practitioner Female Practitioner

Mallory Hanewich , FNP-C

Nurse Practitioner • Wheatfield, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mallory Hanewich, FNP-C is a certified Nurse Practitioner practicing in Wheatfield, IN. With approximately 2 years of clinical experience since completing medical education in 2024, Mallory Hanewich delivers high-quality medical care to the local community at 3988 W STATE ROAD 10.

Mallory Hanewich maintains professional affiliations with Porter Physician Services Llc, Rci (Wrs) Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3988 W State Road 10

Wheatfield, IN 463929251

Telephone 2199873581
Associated Practice Facility / Clinic
🏢 Demotte Physicians Inc. Facility NPI 1396780573

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wheatfield, IN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs Matches City Avg
City Avg: 2.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Wheatfield, IN (2620 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hanewich (2 Years) 2 Yrs
Wheatfield Specialty Average (2.0 Years) 2.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71015853A

(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.

Hospital & Practice Group Affiliations

Rci (Wrs) Llc

401 15th St Se, Demotte, IN 463109043

Phone: 2199873073

Porter Physician Services Llc

3988 W State Rd, Wheatfield, IN 463929251

Phone: 2192703400

Porter Physician Services Llc

650 Dickinson Rd, Chesterton, IN 463043387

Practice Associates & Co-Workers

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

7 Associated Practitioners
Tami Clinkenbeard , NP

Nurse Practitioner - Family

NPI 1033748736

Nurse Practitioner

NPI 1265467476

Doctor of Medicine (M.D.)

Cecilia Sampsel , NP

Family Medicine

NPI 1437187085

Nurse Practitioner

NPI 1528003852

Doctor of Medicine (M.D.)

Helen Anderson , FNP-C

Nurse Practitioner - Family

NPI 1619391364

Family Nurse Practitioner (Certified)

NPI 1649464439

Doctor of Osteopathic Medicine (D.O.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2024

Registered at 3988 W STATE ROAD 10, WHEATFIELD, IN 463929251 (Tel: 2199873581)

📍
Updated Business Mailing Address October 17, 2024

Registered at 7402 N 400 W, RENSSELAER, IN 479787528 (Tel: 2198693675)

👤
Provider Name / Credentials Updated October 17, 2024

Recorded as MALLORY HANEWICH, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2024

Nurse Practitioner (License #71015853A in IN)

🟢
Initial NPI Registration & Enumeration October 17, 2024

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: 1497576052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2024
Last Update: October 17, 2024
Sole Proprietor: No

Mailing Address

7402 N 400 W

Rensselaer, IN 479787528

Phone: 2198693675

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.