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

Mrs. Mallory Rae Hogan, CNP

Individual provider Nurse Practitioner · NPI 1487139374

Mrs. Mallory Rae Hogan, CNP is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2018, 8 years ago. Practices with Heart Hospital of South Dakota LLC, a 67-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Dakota.

Years since qualifying
8
Licensed in
SD
In the registry since
2018
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4520 W 69th St
Sioux Falls, SD 57108-8148
Phone: (605) 977-5000
Fax: (605) 977-5377
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CP001457 (SD)

Record details

NPI number1487139374
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 26, 2018
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Heart Hospital Of South Dakota Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Sioux Falls