Active NPI
Amber Nicole Mahalitc, APRN-CNP
- Acute Care Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1191089
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Physicians
Practice addresses (Care Compare)
6414 Fannin St
Suite G150
Houston, TX 77030-1514
Phone (713) 486-7500
Hospital & facility affiliations
- Memorial Hermann Katy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Current | 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.
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1124396585
-
- Health Educator
- Houston, TX
- NPI 1316534472
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.