MRS. SUSAN MARIE MALLONE-STEAD APRN
NPI 1487658316
Nurse Practitioner - Pediatrics in Fort Myers, FL

Q: What is Susan Mallone-stead's NPI number?

The NPI number for Susan Mallone-stead is 1487658316. It was assigned to this individual provider in the NPPES registry on June 9, 2005. The provider is also known as Susan M Stead Aprn.

Q: What is Susan Mallone-stead's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since June 09, 2005PECOS Enrolled

4751 S CLEVELAND AVE, FORT MYERS, FL 33907(239) 343-9888(239) 343-9868 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 31, 2022, Mar 29, 2021, Aug 15, 2019 and 1 more (4 updates tracked since 2019).

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About Mrs. Susan Marie Mallone-stead Aprn NPPES

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

MRS. SUSAN MARIE MALLONE-STEAD APRN (NPI 1487658316) is an individual pediatrics provider in Fort Myers, Florida, licensed in Florida (APRN9395706) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487658316

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. SUSAN MARIE MALLONE-STEADCredential: APRN

Location Address4751 S CLEVELAND AVEFort Myers, FL 33907-1317

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9888 · Fax (239) 343-9868

Phone(239) 343-9888

Fax(239) 343-9868

Sole ProprietorYes

Enumeration DateJune 9, 2005

Last NPPES UpdateJanuary 31, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2022

✔ NPI 1487658316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN9395706

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9395706 (FL)

4751 S CLEVELAND AVE, Fort Myers, FL 33907

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Other Names 1

Other Name (5)Susan M Stead Aprn

Other Identifiers 2

Medicaid02136749NY

Medicaid013881500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Marie Mallone-stead Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Susan Mallone-stead reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lee Memorial Health System

2.4 mi

Emergency Medicine

2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901

Reassigned Medicare billing, Florida enrollment
1,345 clinicians in this Medicare group

NPI 1134222532 (239) 334-5244

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33907 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Other Providers at the Same Location NPPES 20

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

LEE MEMORIAL HEALTH SYSTEM

Clinic/Center (Federally Qualified Health Center (FQHC))