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

Mary E Maloney, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1710592175

Mary E Maloney, ANP is a Nurse Practitioner in Belleville, Illinois. Qualified in 2020, 6 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

4315 Memorial Dr
Belleville, IL 62226-5342
Phone: (618) 767-7023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 348 Westglen Dr, Glen Carbon, IL 62034-1002 — (618) 806-5967

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209023096 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 209023096 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AG06200301 (IL)

Record details

NPI number1710592175
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedSeptember 12, 2020
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address4315 Memorial Dr, Belleville, IL 62226-5342

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Belleville