MALLORY SOUSA APRN
NPI 1518795228
Nurse Practitioner - Family in Cranston, RI

Q: What is Mallory Sousa's NPI number?

The NPI number for Mallory Sousa is 1518795228. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Q: What is Mallory Sousa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mallory Sousa was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment

681 RESERVOIR AVE, CRANSTON, RI 02910(401) 943-7186 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2026, Jul 24, 2024 (2 updates tracked since 2024).

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About Mallory Sousa Aprn NPPES

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

MALLORY SOUSA APRN (NPI 1518795228) is an individual family provider in Cranston, Rhode Island, licensed in Rhode Island (APRN04134) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1518795228

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMALLORY SOUSACredential: APRN

Location Address681 RESERVOIR AVECranston, RI 02910-3220

Mailing Address681 Reservoir AveCranston, RI 02910-3220 · (401) 943-7186

Phone(401) 943-7186

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 24, 2024

Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1518795228 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 RI · APRN04134

681 RESERVOIR AVE, Cranston, RI 02910

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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

Mallory Sousa Aprn 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 ID4587133087

PECOS Enrollment IDI20260514000364

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02910 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 15

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

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