Individual provider Active NPI

Amber Nicole Mahalitc, APRN-CNP

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1922804384
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1191089 Issued in TX
Practice address
6414 Fannin St Ste G150
Houston, TX 77030-1514
Phone
(713) 500-7207
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1191089 TX Primary

Addresses

Primary practice location

6414 Fannin St Ste G150
Houston, TX 77030-1514

Mailing address

1851 County Road 79
Eagle Lake, TX 77434-7055
Phone (979) 758-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250528002144 TX Practitioner - Nurse Practitioner 9436678927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6414 Fannin St
Suite G150
Houston, TX 77030-1514
Phone (713) 486-7500

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 16, 2025 Accepting new patients
Ut Physicians CurrentSince Jun 16, 2025 Accepting new patients

Locations

6410 Fannin St
#135
Houston, TX 77030

6414 Fannin St
Ste G150
Houston, TX 77030
Phone (713) 486-7560

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1922804384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 COUNTY ROAD 79",
            "city": "EAGLE LAKE",
            "state": "TX",
            "postal_code": "774347055",
            "telephone_number": "979-758-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 FANNIN ST STE G150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301514",
            "telephone_number": "713-500-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALITC",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1191089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.