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

Mallory Hanewich, FNP-C

Individual provider Nurse Practitioner · NPI 1497576052

Mallory Hanewich, FNP-C is a Nurse Practitioner in Wheatfield, Indiana. Qualified in 2024, 2 years ago. Practices with Porter Physician Services LLC, a 96-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3988 W State Road 10
Wheatfield, IN 46392-9251
Phone: (219) 987-3581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71015853A (IN)

Record details

NPI number1497576052
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 17, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Porter Physician Services Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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