Mallie Anderson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

230767 Issued in LA

Practice address

601 Keyser Ave
Natchitoches, LA 71457-6020

Phone

(318) 214-5770

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NRMC Physician Ipa IncGroup PAC ID 9234400300, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NRMC Physician Ipa Inc

  dba NRMC General Surgery Associates

  • Surgery Physician
  • Natchitoches, LA
  • NPI 1497283733
  Medicare reassignment Care Compare group NPD
• NRMC Physician Ipa Inc

  dba NRMC Pain Institute

  • Counseling Psychologist
  • Natchitoches, LA
  • NPI 1154829141
  NPD
• NRMC Physician Ipa Inc

  dba NRMC Urology Associates

  • Urology Physician
  • Natchitoches, LA
  • NPI 1144881459
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Natchitoches Parish Hospital Service District

  dba North Natchitoches Medical Clinic

  • Rural Health Clinic/Center
  • Campti, LA
  • NPI 1093933897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba NRMC Women's Health Center

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1568897692

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba Natchitoches Imaging

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1639243967
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba Natchitoches Regional Medical Center

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1689676835
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba NRMC Walk In Clinic

  • Clinic/Center
  • Natchitoches, LA
  • NPI 1821414897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba NRMC Cancer Center

  • Radiation Oncology Physician
  • Natchitoches, LA
  • NPI 1972171072

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1821774167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475",
            "telephone_number": "318-214-4200",
            "fax_number": "318-214-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576020",
            "telephone_number": "318-214-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MALLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "230767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• America Health Care Capital, LLC (America Health Care Capital)
• Annette Marie Anderson, RN
• Charles Garrett Anderson
• Isiah Anderson
• Jeffery Wayne Anderson
• Sharita Anderson
• Angelo P Morreale, DPM, a Prof Corp (The Foot Institute)
• Angels of Mercy Group Home, Inc.
• Brittany Anthony
• James Bryson Arceneaux, DC ; PT

• Family Nurse Practitioner in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.

Verify at the official NPI Registry.