Mallory B Hommertzheim
NP | Nurse Practitioner | 7+ years Exp
595 Chapel Hills Dr Ste 303b, Colorado Springs
Colorado, 80920-1022
719-922-1002
Accepts Medicare Nurse Practitioner in Colorado Springs, Colorado.Mallory B Hommertzheim is a Colorado Springs, Colorado based nurse practitioner with 7 years of experience as Nurse Practitioner. She completed her graduation from University Of South Alabama College Of Medicine in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mallory B Hommertzheim is 1257 for Family NP in Colorado. Her current practice location is 595 Chapel Hills Dr Ste 303b, Colorado Springs. Patients can reach her at 719-922-1002 or can fax her at 719-888-1841. Mallory B Hommertzheim is NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1073154787.
Mallory B Hommertzheim has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mallory B Hommertzheim speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mallory B Hommertzheim |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 7+ years |
| Medical School Attended: | University Of South Alabama College Of Medicine |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 595 Chapel Hills Dr Ste 303b, Colorado Springs, Colorado, 80920-1022 |
| Phone: | 719-922-1002 |
| Fax: | 719-888-1841 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9830518281 |
| Enrollment ID: | I20210322002500 |
| NPI Number: | 1073154787 |
| NPI Enumeration Date: | 03 Oct, 2019 |
| NPI Last Update On: | 24 Mar, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mallory B Hommertzheim are as mentioned below.
| License Number | Specialization | State | Status | |
| 1257 | Family NP | Colorado | Primary | |
| 113578 | Registered Nurse | Oklahoma | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mallory B Hommertzheim is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Lykos Medical Llc (0941558035) | 6 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mallory B Hommertzheim 595 Chapel Hills Dr Ste 303b, Colorado Springs, Colorado |
| Zip: | 80920-1022 |
| Phone Number: | 719-922-1002 |
| Fax Number: | 719-888-1841 |
Patients can reach Mallory B Hommertzheim at
595 Chapel Hills Dr Ste 303b, Colorado Springs, Colorado or can
call to book an appointment on 719-922-1002.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.