Active NPI
Erin E Mallari, PA-C
- Physician Assistant
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103462
- Practice address
- 8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822 - Phone
- (239) 331-5566
- Fax
- (239) 437-7499
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103462 | FL | Primary |
Addresses
Primary practice location
8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822
Mailing address
8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822
Phone (239) 331-5566
Other practice location 1
2780 Cleveland Ave
Suite 702
Fort Myers, FL 33901-5858
Phone (239) 343-3474
Other practice location 2
2 Tampa General Cir
Tampa, FL 33606-3603
Phone (813) 974-2201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292574500 | Medicaid | FL | |
| LG171 | Other | FL | MEDICARE |
| Y01T5 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Erin E Ross
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 331-5566
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 938-3571
8192 College Pkwy
Suite 6
Fort Myers, FL 33919-5175
Phone (239) 481-8022
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-6650
Hospital & facility affiliations
- Cape Coral Hospital
- Gulf Coast Medical Center Lee Health
- Lee Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.94 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
2780 Cleveland Ave
Ste 702
Fort Myers, FL 33901
Phone (239) 332-6474
9981 S Healthpark Dr
Ste 120
Fort Myers, FL 33908
Phone (239) 343-6341
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Interoperability endpoints
- emallari155153@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1518911668
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376611962
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1518907823
-
- Surgery Physician
- Fort Myers, FL
- NPI 1275573131
-
- Trauma Surgery Physician
- Fort Myers, FL
- NPI 1639226608
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1689683047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8791 CONFERENCE DR STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339195822",
"telephone_number": "239-331-5566",
"fax_number": "239-437-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8791 CONFERENCE DR STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339195822",
"telephone_number": "239-331-5566",
"fax_number": "239-437-7499"
}
],
"practiceLocations": [
{
"address_1": "2780 Cleveland Ave",
"address_2": "Suite 702",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339015858",
"country_code": "US",
"telephone_number": "239-343-3474",
"fax_number": "239-343-2968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Tampa General Cir",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063603",
"country_code": "US",
"telephone_number": "813-974-2201",
"fax_number": "813-974-4325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLARI",
"first_name": "ERIN",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292574500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "LG171",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y01T5",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "ROSS",
"middle_name": "E",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.