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MALLORY SUSSMAN
NPI 1194375899
Nurse Practitioner - Family in Tampa, FL

Active since September 13, 2019PECOS EnrolledAccepts Medicare Assignment
13511 IRONTON DR, TAMPA, FL 33626(813) 340-5322 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2020, Sep 13, 2019 (2 updates tracked since 2019).

About Mallory Sussman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY SUSSMAN (NPI 1194375899) is an individual family provider in Tampa, Florida, licensed in Florida (APRN11004009) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194375899
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY SUSSMAN
Location Address13511 IRONTON DRTampa, FL 33626-2967
Mailing Address13511 Ironton DrTampa, FL 33626-2967
Phone(813) 340-5322
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 13, 2019
Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
✔ NPI 1194375899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11004009
13511 IRONTON DR, Tampa, FL 33626
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory Sussman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002206828
PECOS Enrollment IDI20211209000427
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mallory Sussman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sage Infusion, LLC
8.6 mi
Infusion Therapy
4728 N HABANA AVE STE 101B
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 65 clinicians in this Medicare group
NPI 1013578442 (813) 775-9997

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
16,800 services31 patients
Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
15,620 services42 patients
Injection, tezepelumab-ekko, 1 mg J2356
Tezepelumab-ekko is a medication given via injection to help manage severe asthma. It works by blocking a specific protein in your body that triggers asthma symptoms. This injection is typically administered under medical supervision.
14,490 services19 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
11,760 services164 patients
Injection, eptinezumab-jjmr, 1 mg J3032
Eptinezumab-jjmr is a medication given through injection to prevent migraines. It works by blocking a specific protein that may cause migraines. This injection is usually given every 3 months by a healthcare professional.
5,400 services14 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
1,840 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Sussman's NPI number?

The NPI number for Mallory Sussman is 1194375899. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Mallory Sussman located?

Mallory Sussman practices at 13511 Ironton Dr, Tampa, FL 33626. The listed phone number is (813) 340-5322.

What is Mallory Sussman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallory Sussman enrolled in Medicare?

Yes. Mallory Sussman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mallory Sussman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Sussman reassigns Medicare benefits to Sage Infusion, LLC (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Sussman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Sussman accept?

Health plans from UnitedHealthcare list Mallory Sussman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Sussman was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.