Individual provider Active NPI

Sarah Mallette, NP

  • Family Nurse Practitioner
  • Moss Point, MS
National Provider Identifier
1831841808
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905122 Issued in MS
Practice address
5907 Highway 90
Moss Point, MS 39563-6536
Phone
(228) 769-2611
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905122 MS Primary

Addresses

Primary practice location

5907 Highway 90
Moss Point, MS 39563-6536

Mailing address

1700 Baptiste St
Pascagoula, MS 39581-2210
Phone (228) 990-9244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20220222000600 MS Practitioner - Nurse Practitioner 3274927017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

5907 Hwy 90
Moss Point, MS 39563-6536
Phone (228) 769-2611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Community Providers LLC CurrentSince Sep 1, 2023 Accepting new patients
Mississippi Providence Healthcare Services Inc. CurrentSince Feb 10, 2022 Accepting new patients
University of South Alabama Mitchell Cancer Institute Past Accepting new patients

Locations

5907 Highway 90
Pascagoula, MS 39563
Phone (225) 769-1611

Interoperability endpoints

  • Direct secure messaging: sarah.mallette.1@16253.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1831841808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BAPTISTE ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395812210",
            "telephone_number": "228-990-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 HIGHWAY 90",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395636536",
            "telephone_number": "228-769-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETTE",
        "first_name": "SARAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moss Point, MS

Sources for this page

Verify at the official NPI Registry.