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

Mallory Cotter

Individual provider Registered Nurse · NPI 1386380046

Mallory Cotter is a Certified Registered Nurse Anesthetist (CRNA) in Roscoe, Illinois. Qualified in 2022, 4 years ago. Practices with North American Partners in Anesthesia Illinois LLC, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

6665 W Gate Ct
Roscoe, IL 61073-9642
Phone: (518) 524-3221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Seasons Blvd Apt 1009, West Dundee, IL 60118-4549 — (518) 524-3221

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209025808 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041477774 (IL)

Record details

NPI number1386380046
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2022
Last updated in NPPESAugust 27, 2022
Certification dateAugust 24, 2022
Mailing address6665 W Gate Ct, Roscoe, IL 61073-9642

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North American Partners In Anesthesia Illinois Llc — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roscoe