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

MS. Mallory Goetz, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1356854582

MS. Mallory Goetz, AGACNP-BC is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2017, 9 years ago. Practices with Shock Trauma Associates PA, a 262-clinician group and accepts Medicare assignment. Licensed in Maryland and Texas.

Years since qualifying
9
Licensed in
MD, TX
In the registry since
2017
Specialties on file
2

Practice location Address checks out

22 S Greene St
Baltimore, MD 21201
Phone: (214) 477-8200
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R231169 (MD)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP135634 (TX)

Record details

NPI number1356854582
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedNovember 9, 2017
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Shock Trauma Associates Pa — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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