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

Mallory Iverson, APN

Individual provider Nurse Practitioner · NPI 1366818692

Mallory Iverson, APN is a Nurse Practitioner in Wauconda, Illinois. Qualified in 2015, 11 years ago. Practices with Family Medicine Specialists of Round Lake Incorporated S C, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

431 W Liberty St
Wauconda, IL 60084-2452
Phone: (847) 526-2151
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209013043 (IL)

Record details

NPI number1366818692
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorYes
NPI enumeratedAugust 20, 2015
Last updated in NPPESAugust 20, 2015
Mailing addressPo Box 6037, Wauconda, IL 60084-6037

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Family Medicine Specialists Of Round Lake Incorporated S C — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wauconda