KALISTA T MALETTE PA-C
NPI 1407611643
Physician Assistant in Summerville, SC

Active since February 16, 2024PECOS EnrolledAccepts Medicare Assignment
213 W 4TH NORTH ST, SUMMERVILLE, SC 29483(843) 873-0681 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kalista T Malette Pa-c NPPES

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

KALISTA T MALETTE PA-C (NPI 1407611643) is an individual physician assistant in Summerville, South Carolina, licensed in South Carolina (5548) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and maintains a secondary practice location in West Liberty.

NPPES Registry Identity

NPI1407611643
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKALISTA T MALETTECredential: PA-C
Location Address213 W 4TH NORTH STSummerville, SC 29483-6541
Mailing AddressPo Box 530062Atlanta, GA 30353-0062 · (763) 348-2075
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 16, 2024
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
NPI 1407611643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 5548
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

213 W 4TH NORTH ST, Summerville, SC 29483

Secondary Practice Location 1

Location 1208 University DrWest Liberty, WV 26074-1082 · Phone (304) 336-5294

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kalista T Malette Pa-c 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 ID7719475672
PECOS Enrollment IDI20251022003015
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29483 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
213 W 4TH NORTH ST
SUMMERVILLE, SC 29483
Nurse Practitioner (Family)
213 W 4TH NORTH ST
SUMMERVILLE, SC 29483
Physician Assistant
213 W 4TH NORTH ST
SUMMERVILLE, SC 29483
Nurse Practitioner (Family)
213 W 4TH NORTH ST
SUMMERVILLE, SC 29483
Family Medicine
213 W 4TH NORTH ST
SUMMERVILLE, SC 29483
Nurse Practitioner (Family)
213 W 4TH NORTH ST
SUMMERVILLE, SC 29483
Family Medicine
213 W 4TH NORTH ST
SUMMERVILLE, SC 29483

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 Kalista Malette's NPI number?

The NPI number for Kalista Malette is 1407611643. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Kalista Malette located?

Kalista Malette practices at 213 W 4th North St, Summerville, SC 29483. The listed phone number is (843) 873-0681.

What is Kalista Malette's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kalista Malette enrolled in Medicare?

Yes. Kalista Malette 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.

What insurance does Kalista Malette accept?

Health plans from Molina Healthcare list Kalista Malette 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.

Is Kalista Malette affiliated with any hospitals?

According to CMS data, Kalista Malette is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Kalista Malette was last updated on July 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.