Mallory Quinn De Boom, PA
NPI 1801540646ActiveIndividual· Physician Assistant· Saint Paul, MN
Physician Assistant (PA) in Saint Paul, Minnesota, trained at University of Tennessee, Hsc, College of Medicine (class of 2021). Mostly services rather than prescriptions: Medicare paid $11,086 for 76 patients in 2024, with only 32 Part D claims.
Overview
| NPI | 1801540646 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 10, 2022 |
| Last updated in NPPES | Sep 2, 2026 |
| Certified by provider | Sep 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 15407 | MN |
| Physician Assistant, Medical | 363AM0700X | — | TN |
| Physician Assistant | 363A00000X | 4931 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 274 across 9 procedure codes |
| Paid by Medicare | $11,086 |
Part D prescriptions in 2024
| Prescriptions (claims) | 32 · 90 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $4,080 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Physician Assistant |
Medical group
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
Hospital affiliation
- Allina United HospitalSaint Paul, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 380 physician assistants in Saint Paul · All physician assistants in Minnesota