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

Mallory Cotter

Individual provider Registered Nurse · NPI 1386380046

Mallory Cotter is a Certified Registered Nurse Anesthetist (CRNA) in Roscoe, Illinois. Qualified in 2022, 4 years ago. Practices with North American Partners in Anesthesia Illinois LLC, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

6665 W Gate Ct
Roscoe, IL 61073-9642
Phone: (518) 524-3221
Show map & directions

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

Additional practice locations (1)

  • 1000 Seasons Blvd Apt 1009, West Dundee, IL 60118-4549 — (518) 524-3221

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209025808 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041477774 (IL)

Record details

NPI number1386380046
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2022
Last updated in NPPESAugust 27, 2022
Certification dateAugust 24, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North American Partners In Anesthesia Illinois Llc — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roscoe