MALCOLM DUNCAN MSN, RN, PMHNP
NPI 1033691746
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Q: What is Malcolm Duncan's NPI number?

The NPI number for Malcolm Duncan is 1033691746. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Q: What is Malcolm Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Malcolm Duncan was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since August 30, 2018PECOS EnrolledAccepts Medicare Assignment

7005 MIRA LOMA LN STE 101, AUSTIN, TX 78723(512) 300-2455 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Dec 16, 2022, Aug 30, 2018 (3 updates tracked since 2018).

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About Malcolm Duncan Msn, Rn, Pmhnp NPPES

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

MALCOLM DUNCAN MSN, RN, PMHNP (NPI 1033691746) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (661686) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1033691746

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMALCOLM DUNCANCredential: MSN, RN, PMHNP

Location Address7005 MIRA LOMA LN STE 101Austin, TX 78723-1411

Mailing Address7005 Mira Loma Ln Ste 101Austin, TX 78723-1411 · (512) 795-4344

Phone(512) 300-2455

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 30, 2018

Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1033691746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 661686

7005 MIRA LOMA LN STE 101, Austin, TX 78723

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Malcolm Duncan Msn, Rn, Pmhnp 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 ID6709115090

PECOS Enrollment IDI20190911003802

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.

Areas of Expertise CMS Part B claims 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

808 services195 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

716 services176 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78723 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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

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

CERTIFIED NURSE PRACTITIONERS, PC

Nurse Practitioner (Family)

7005 MIRA LOMA LN STE 101
AUSTIN, TX 78723

Travis County (512) 300-2455

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 Malcolm Duncan's NPI number?

The NPI number for Malcolm Duncan is 1033691746. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Malcolm Duncan located?

Malcolm Duncan practices at 7005 Mira Loma Ln Ste 101, Austin, TX 78723. The listed phone number is (512) 300-2455.

What is Malcolm Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Malcolm Duncan enrolled in Medicare?

Yes. Malcolm Duncan 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 Malcolm Duncan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Malcolm Duncan 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 Malcolm Duncan was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.