DR. MALLORY BLAKESLEE D.O.
NPI 1932516945
Emergency Medicine in Gulfport, MS
About Dr. Mallory Blakeslee D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MALLORY BLAKESLEE D.O. (NPI 1932516945) is an individual emergency medicine provider in Gulfport, Mississippi, licensed in Mississippi (25885) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mallory Blakeslee D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Mallory Blakeslee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 731 clinicians in this Medicare group
West Memphis, AR 72301
- Reassigned Medicare billing, Oklahoma enrollment
- 79 clinicians in this Medicare group
Oklahoma City, OK 73102
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Emergency Physicians Of Mid-America PC
- 310 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Blakeslee's NPI number?
The NPI number for Mallory Blakeslee is 1932516945. It was assigned to this individual provider in the NPPES registry on July 22, 2014.
Where is Mallory Blakeslee located?
Mallory Blakeslee practices at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 575-2000.
What is Mallory Blakeslee's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mallory Blakeslee enrolled in Medicare?
Yes. Mallory Blakeslee is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mallory Blakeslee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Blakeslee reassigns Medicare benefits to 3 organizations: Memorial Hospital At Gulfport (Gulfport, MS), Hospital Care Consultants Region II Inc (West Memphis, AR) and Emergency Physicians Of Mid-America, P.C. (Oklahoma City, OK). Each 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 Blakeslee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Blakeslee accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Mallory Blakeslee 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 Blakeslee was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Mallory Blakeslee, D.O. · NPI 1932516945
Emergency Medicine physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since July 22, 2014.
## Identity
- **NPI:** 1932516945 (Entity type: Individual)
- **Enumerated:** July 22, 2014
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25885 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 13TH ST, Gulfport, MS 39501-2569
- **Phone:** (228) 575-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Memorial Hospital At Gulfport (NPI 1073606901, Gulfport, MS); Hospital Care Consultants Region II Inc (NPI 1558491449, West Memphis, AR); Emergency Physicians Of Mid-America, P.C. (NPI 1063825297, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1932516945) · Data from the CMS NPPES public registry.