ANDREA MARION MALSON NURSE PRACTITIONER
NPI 1073012423
Nurse Practitioner - Family in Cincinnati, OH

Active since February 12, 2018PECOS EnrolledAccepts Medicare Assignment
2123 AUBURN AVE STE 440, CINCINNATI, OH 45219(513) 648-8980(513) 648-8988 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Nov 2, 2022, Oct 19, 2022 and 1 more (4 updates tracked since 2018).

About Andrea Marion Malson Nurse Practitioner NPPES

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

ANDREA MARION MALSON NURSE PRACTITIONER (NPI 1073012423) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRNCNP024956) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073012423
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA MARION MALSONCredential: NURSE PRACTITIONER
Location Address2123 AUBURN AVE STE 440Cincinnati, OH 45219-2906
Mailing Address2123 Auburn Ave Ste 440Cincinnati, OH 45219-2906 · (513) 648-8980 · Fax (513) 648-8988
Fax(513) 648-8988
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 12, 2018
Last NPPES UpdateMay 16, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1073012423 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 OH · APRNCNP024956
2123 AUBURN AVE STE 440, Cincinnati, OH 45219

Accepted 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

Andrea Marion Malson Nurse Practitioner 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 ID2466789383
PECOS Enrollment IDI20190814003158
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
411 services357 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.
180 services160 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
100%25 patients5/55-star benchmark: 100%
Breast Cancer Screening
19%622 patients1/55-star benchmark: 93%
Cervical Cancer Screening
5%896 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
0%30 patients
Closing the Referral Loop: Receipt of Specialist Report
13%432 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
21%1,815 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
66%656 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
14%195 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%195 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
31%4,555 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
10%626 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%2,361 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
8%2,733 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 6% · 1,832 patients
6%1,832 patients
Provide Patients Electronic Access to Their Health Information
75%794 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%341 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 689 patients
Patients totalRate: 7% · 699 patients
7%699 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers418 claims418 services$32.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers199 claims199 services$76.08 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers193 claims541 services$27.48 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers115 claims643 services$14.81 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers155 claims869 services$11.33 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers297 claims297 services$44.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine (Sleep Medicine)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Nurse Practitioner (Adult Health)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Internal Medicine (Sleep Medicine)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Internal Medicine (Sleep Medicine)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Nurse Practitioner (Adult Health)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Nurse Practitioner
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219

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 Andrea Malson's NPI number?

The NPI number for Andrea Malson is 1073012423. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Andrea Malson located?

Andrea Malson practices at 2123 Auburn Ave Ste 440, Cincinnati, OH 45219. The listed phone number is (513) 648-8980.

What is Andrea Malson's specialty?

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

Is Andrea Malson enrolled in Medicare?

Yes. Andrea Malson 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 Andrea Malson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Andrea Malson 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.

Is Andrea Malson affiliated with any hospitals?

According to CMS data, Andrea Malson is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Malson was last updated on May 16, 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.