Individual provider

Mallory Smith, AGACNP-BC

Adult Health Nurse Practitioner Critical Care Medicine Nurse Practitioner Medicare enrolled

Mallory Smith, AGACNP-BC is an Adult Health Nurse Practitioner in Louisville, KY, registered under NPI 1609334630. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3900 KRESGE WAY STE 42, Louisville, KY 40207. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3900 KRESGE WAY STE 42, Louisville, KY 40207 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
4018626 KY Adult Health Nurse Practitioner primary
AP140939 TX Adult Health Nurse Practitioner
95014580 CA Critical Care Medicine Nurse Practitioner

Licences are recorded in 3 states: KY, TX, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
8224450077

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: California, Kentucky and Texas. The practice address on file is in Louisville, KY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
95014580
Specialty
Critical Care Medicine Nurse…
Verify with the CA board →
KY Kentucky practice address
Licence
4018626
Specialty
Adult Health Nurse Practitioner
Verify with the KY board →
TX Texas
Licence
AP140939
Specialty
Adult Health Nurse Practitioner
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Adult Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LA2200X Adult Health Nurse Practitioner Adult Health 4018626 KY primary
363LA2200X Adult Health Nurse Practitioner Adult Health AP140939 TX
363LC0200X Critical Care Medicine Nurse Practitioner Critical Care Medicine 95014580 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1609334630 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 8, 2019
Last updatedSep 17, 2024
StatusActive
Sole proprietorNo
CredentialAGACNP-BC
Practice address 3900 KRESGE WAY STE 42
Louisville, KY 40207
(502) 899-3858
Fax (502) 899-3878
Mailing address 1901 CAMPUS PL
Louisville, KY 40299
Other identifiers 7100983120 (KY)
This record was updated on Sep 17, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1609334630 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 0 9 3 3 4 6 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 0 9 6 3 8 6 6

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1609334630?
NPI 1609334630 is the National Provider Identifier assigned to Mallory Smith, AGACNP-BC in Louisville, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Health cover?
Definition to come...
How do I contact Mallory Smith, AGACNP-BC?
The phone number on file with NPPES is (502) 899-3858, last updated Sep 17, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mallory Smith, AGACNP-BC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1609334630 a valid number?
Yes. 1609334630 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.