Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory B Hommertzheim, NP

Individual provider Registered Nurse · NPI 1073154787

Mallory B Hommertzheim, NP is a Nurse Practitioner in Colorado Springs, Colorado. Graduated from University of South Alabama College of Medicine in 2019, 7 years ago. Practices with Mws Wound Solutions LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Oklahoma.

Years since qualifying
7
Trained at
University of South Alabama College of Medicine
Licensed in
CO, OK
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

595 Chapel Hills Dr Ste 303B
Colorado Springs, CO 80920-1022
Phone: (719) 922-1002
Fax: (719) 888-1841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1257 (CO)
Registered Nurse Taxonomy 163W00000X · Licence 113578 (OK)

Record details

NPI number1073154787
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Mws Wound Solutions Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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