ANGELA MALCOM CRNA
NPI 1093832206
Nurse Anesthetist, Certified Registered in Anchorage, AK

Q: What is Angela Malcom's NPI number?

The NPI number for Angela Malcom is 1093832206. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Q: What is Angela Malcom's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Malcom was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 23, 2007

4100 LAKE OTIS PKWY, ANCHORAGE, AK 99508(907) 550-6110 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Angela Malcom Crna NPPES

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

ANGELA MALCOM CRNA (NPI 1093832206) is an individual nurse anesthetist, certified registered in Anchorage, Alaska, licensed in Alaska (272) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1093832206

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameANGELA MALCOMCredential: CRNA

Location Address4100 LAKE OTIS PKWYAnchorage, AK 99508-5222

Mailing AddressPo Box 29211Phoenix, AZ 85038-9211 · (602) 273-6770 · Fax (602) 889-0489

Phone(907) 550-6110

Sole ProprietorNo

Enumeration DateMarch 23, 2007

Last NPPES UpdateDecember 6, 2007

✔ NPI 1093832206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AK · 272

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

4100 LAKE OTIS PKWY, Anchorage, AK 99508

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Other Identifiers 2

Medicare PINK153252AK

Medicare UPINP95355AK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Malcom Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Angela Malcom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chugach Anesthesia, LLC

Same address

Anesthesiology

4100 LAKE OTIS PKWY STE 222
Anchorage, AK 99508

Reassigned Medicare billing, Alaska enrollment
79 clinicians in this Medicare group

NPI 1093712358 (907) 550-6111

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

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.

ASHLIEGH LEVESQUE CSFA

Specialist/Technologist, Other (Surgical Assistant)

4100 LAKE OTIS PKWY
ANCHORAGE, AK 99508

Anchorage Municipality (907) 563-4810

LOREN J JENSEN MD

Orthopaedic Surgery

4100 LAKE OTIS PKWY, SUITE 314
ANCHORAGE, AK 99508

Anchorage Municipality (907) 274-2425

MARK ANDREW MALZAHN P.A.-C.

Physician Assistant (Medical)

4100 LAKE OTIS PKWY, #302
ANCHORAGE, AK 99508

Anchorage Municipality (907) 563-7072

MRS. JENNIFER RAE AMBROSE CRNA

Nurse Anesthetist, Certified Registered

4100 LAKE OTIS PKWY, SUITE 222
ANCHORAGE, AK 99508

Anchorage Municipality (612) 269-1918

WALDRON UPHAM CRNA

Nurse Anesthetist, Certified Registered

4100 LAKE OTIS PKWY
ANCHORAGE, AK 99508

Anchorage Municipality (907) 550-6110

DR. MICHELLE L ROBERTSON PHARMD

Pharmacist

4100 LAKE OTIS PKWY, SUITE #200
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2138

MARC WHITMAN PT

Physical Therapist

4100 LAKE OTIS PKWY
ANCHORAGE, AK 99508

Anchorage Municipality (907) 563-8318

U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

4100 LAKE OTIS PKWY, SUITE 100
ANCHORAGE, AK 99508

Anchorage Municipality (907) 563-4006

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 Angela Malcom's NPI number?

The NPI number for Angela Malcom is 1093832206. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Angela Malcom located?

Angela Malcom practices at 4100 Lake Otis Pkwy, Anchorage, AK 99508. The listed phone number is (907) 550-6110.

What is Angela Malcom's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Angela Malcom enrolled in Medicare?

Yes. Angela Malcom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Malcom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Malcom reassigns Medicare benefits to Chugach Anesthesia, LLC (Anchorage, AK). 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 Angela Malcom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Malcom was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.