1. Home
  2. Directory
  3. Florida
  4. Pensacola
  5. Nurse Practitioner
  6. NPI Profile

MALLORY LOUISE DEHAES
NPI 1992569909
Nurse Practitioner in Pensacola, FL

Active since February 09, 2024PECOS EnrolledAccepts Medicare Assignment
123 BAPTIST WAY, PENSACOLA, FL 32503(850) 434-4011 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mallory Louise Dehaes NPPES

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

MALLORY LOUISE DEHAES (NPI 1992569909) is an individual nurse practitioner in Pensacola, Florida, licensed in Florida (APRN11028583) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Gulf Breeze Hospital, and is a graduate of University Of South Alabama College Of Medicine (2023).

NPPES Registry Identity

NPI1992569909
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALLORY LOUISE DEHAES
Location Address123 BAPTIST WAYPensacola, FL 32503-2254
Mailing Address8316 Mobile HwyPensacola, FL 32526-5217 · (850) 361-7637
Phone(850) 434-4011
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2023
Enumeration DateFebruary 9, 2024
NPPES CertifiedDecember 26, 2023
✔ NPI 1992569909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11028583
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN11028583 (FL)
123 BAPTIST WAY, Pensacola, FL 32503
Open in Google Maps ↗

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 Louise Dehaes 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 ID5496242554
PECOS Enrollment IDI20251014001441
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 Dehaes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pensacola Lung Group, M.D.'s, P.A.
8.2 mi
Specialist
4700 BAYOU BLVD., SUITE 6
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 36 clinicians in this Medicare group
NPI 1619196151 (850) 477-9253

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

Hospital Affiliations CMS Care Compare

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

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 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.

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.

MR. EDWIN BLADIMIR GAVARRETE CRNA
Nurse Anesthetist, Certified Registered
123 BAPTIST WAY
PENSACOLA, FL 32503
Escambia County (850) 434-4011
JEREMY J CHURCH PA-C
Physician Assistant
123 BAPTIST WAY
PENSACOLA, FL 32503
Escambia County (850) 434-4011
BEACHSIDE MEDICAL GROUP LLC
Pediatrics (Neonatal-Perinatal Medicine)
123 BAPTIST WAY
PENSACOLA, FL 32503
Escambia County (850) 473-0100
TIFFANY CHAMBERS FNP-BC
Nurse Practitioner (Family)
123 BAPTIST WAY
PENSACOLA, FL 32503
Escambia County (448) 227-1401
DR. MITCHELL GERARD DUGAS MD
Internal Medicine (Hospice and Palliative Medicine)
123 BAPTIST WAY
PENSACOLA, FL 32503
Escambia County (448) 227-8478
PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Pediatrics (Neonatal-Perinatal Medicine)
123 BAPTIST WAY
PENSACOLA, FL 32503
Escambia County (850) 434-4011
ELYSSA L HOLIBER
Dietitian, Registered
123 BAPTIST WAY
PENSACOLA, FL 32503
Escambia County (448) 227-8478
ANESTHESIA MANAGEMENT SOLUTIONS LLC
Anesthesiology
123 BAPTIST WAY
PENSACOLA, FL 32503
Escambia County (448) 227-8478

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 Dehaes's NPI number?

The NPI number for Mallory Dehaes is 1992569909. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Where is Mallory Dehaes located?

Mallory Dehaes practices at 123 Baptist Way, Pensacola, FL 32503. The listed phone number is (850) 434-4011.

What is Mallory Dehaes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mallory Dehaes enrolled in Medicare?

Yes. Mallory Dehaes 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 Dehaes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Dehaes reassigns Medicare benefits to Pensacola Lung Group, M.D.'s, P.A. (Pensacola, 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 Dehaes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mallory Dehaes affiliated with any hospitals?

According to CMS data, Mallory Dehaes is affiliated with Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Mallory Dehaes was last updated on February 9, 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.