SUZANNE T MALLATT (NP) – Nurse Practitioner, NPI 1417984352

SUZANNE T MALLATT (NP) is a healthcare provider. based in Baxter springs, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 147011 (MO). The NPI Number for SUZANNE T MALLATT (NP) is 1417984352

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE T MALLATT (NP)
NPI
1417984352
Phone
(620) 848-9826
Address
9473 SE 80TH TER
Enumeration Date
27 June 2006
Last Update Date
19 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185421655
Graduation Year
2001 (25 years ago)
PAC ID
8022116300
Group Practice PAC ID
7911893854
Professional Enrollment ID
I20071101000604
Address ID
OK743541016MI7600X69AX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for SUZANNE T MALLATT (NP)

  • 9473 SE 80TH TER

    BAXTER SPRINGS, KS 667133278

    Phone: (620) 848-9826

    Fax: (918) 540-1685

    Type: Mailing

  • S, Northwest 147th State Road, Opa-locka, Miami-Dade County, Florida, 33014:33054, United States

    MIAMI, OK 743541016

    Phone: (918) 542-1655

    Fax: (918) 540-1685

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: PFIZER INC. ($48).

Total Amount

$66

General + Research + Ownership

Payments

4

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$48
Amgen Inc.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071101000604INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81001Manual urinalysis test with examination using microscope, automated2120$0
80053Blood test, comprehensive group of blood chemicals1916$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1514$0
17000Destruction of precancer skin growth, 1 growth1411$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test1312$0
View full utilization report →

Insurance plans in this area (ZIP 66713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911893854View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to SUZANNE T MALLATT (NP)?
NPI 1417984352 is assigned to SUZANNE T MALLATT (NP) under the national enumeration system.
Is SUZANNE T MALLATT (NP) active in the national directory?
SUZANNE T MALLATT (NP)'s public NPI profile is in an active state.
What field does SUZANNE T MALLATT (NP) work in?
You can think of SUZANNE T MALLATT (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SUZANNE T MALLATT (NP)?
We surface Baxter Springs, Kansas for SUZANNE T MALLATT (NP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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