Active NPI 1477292779 Individual Practitioner Female Practitioner

Dr. Mallory Edwards , DNP

Nurse Practitioner - Pediatrics • Hill Afb, UT

Professional Overview & Biography Verified Profile Summary

Dr. Mallory Edwards, DNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Hill Afb, UT. Practice services are available at 7321 BALMER ST BLDG 570 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7321 Balmer St Bldg 570

Hill Afb, UT 840565012

Telephone 8015862273

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Hill Afb, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Hill Afb, UT (133 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

Medical Specialties & State Licenses

CMS Verified: 2025-04-04

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209031595

Definition to come...

Secondary Practice Locations

793 Sunset Blvd

O Fallon, IL 622691960

Phone: 6186682473

Practice Associates & Co-Workers

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

13 Associated Practitioners

Jessica Cooper

Physical Therapist

NPI 1134829328

Dr. Austin Klomp , DO, MBA

Family Medicine

NPI 1164008538

Doctor of Osteopathic Medicine (D.O.), Master of Business Administration

Dr. Peter Sipos , MD

Preventive Medicine - Aerospace Medicine

NPI 1326021478

Doctor of Medicine (M.D.)

Shelby Moderow

Physician Assistant - Medical

NPI 1366164535

Dr. Andrew Christensen , DO

Pediatrics

NPI 1386064285

Doctor of Osteopathic Medicine (D.O.)

Tyler Hollmann

Specialist/Technologist - Athletic Trainer

NPI 1548869555

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2025

Nurse Practitioner (License #209031595 in IL)

✅

NPI Profile Active June 03, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2022

Registered at 7321 BALMER ST BLDG 570, HILL AFB, UT 840565012 (Tel: 8015862273)

📍

Updated Business Mailing Address June 03, 2022

Registered at 7321 BALMER ST BLDG 570, HILL AIR FORCE BASE, UT 840565012

👤

Provider Name / Credentials Updated June 03, 2022

Recorded as MALLORY EDWARDS, DNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2022

Pediatrics (License #2022010300 in MO)

🟢

Initial NPI Registration & Enumeration June 03, 2022

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 Dr. Mallory Edwards. 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: 1477292779

Entity Type:

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

Enumeration Date: June 03, 2022

Last Update: April 04, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7321 Balmer St Bldg 570

Hill Air Force Base, UT 840565012

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.