MR. KINGSLEY L MALCOLM CRNA
NPI 1144550799
Nurse Anesthetist, Certified Registered in Carthage, NY

Active since January 04, 2010Accepts Medicare Assignment
1001 WEST ST, CARTHAGE, NY 13619(315) 493-1000 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Kingsley L Malcolm Crna NPPES

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

MR. KINGSLEY L MALCOLM CRNA (NPI 1144550799) is an individual nurse anesthetist, certified registered in Carthage, New York, licensed in New York (511702-1) and active in the NPI registry since January 2010. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1144550799
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. KINGSLEY L MALCOLMCredential: CRNA
Location Address1001 WEST STCarthage, NY 13619-9703
Mailing Address2824 Rader Ridge CtAntioch, TN 37013-5748 · (615) 424-3918
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 4, 2010
Last NPPES UpdateJanuary 12, 2010
✔ NPI 1144550799 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 NY · 511702-1
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.
1001 WEST ST, Carthage, NY 13619

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

Mr. Kingsley L Malcolm Crna 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 ID1052446556
PECOS Enrollment IDI20100323000650

Medicare Billing Reassignments

3

Medicare enrollment records show Kingsley Malcolm reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Skilled Nursing Facility
1001 WEST ST
Carthage, NY 13619
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1053497388 (New York), NPI 1104234376 (New York)
  • 199 clinicians in this Medicare group
Psychiatric Hospital
214 KING ST STE B
Ogdensburg, NY 13669
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
Anesthesiology
2233 STATE ROUTE 86
Saranac Lake, NY 12983
  • Reassigned Medicare billing, New York enrollment
  • 248 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13619 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

Physician Assistant (Medical)
1001 WEST ST
CARTHAGE, NY 13619
Physical Therapist
1001 WEST ST
CARTHAGE, NY 13619
Dietitian, Registered (Nutrition, Metabolic)
1001 WEST ST
CARTHAGE, NY 13619
Anesthesiology
1001 WEST ST
CARTHAGE, NY 13619
Physical Therapist
1001 WEST ST
CARTHAGE, NY 13619
General Acute Care Hospital (Critical Access)
1001 WEST ST
CARTHAGE, NY 13619
Surgery
1001 WEST ST
CARTHAGE, NY 13619
Nurse Anesthetist, Certified Registered
1001 WEST ST
CARTHAGE, NY 13619

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 Kingsley Malcolm's NPI number?

The NPI number for Kingsley Malcolm is 1144550799. It was assigned to this individual provider in the NPPES registry on January 4, 2010.

Where is Kingsley Malcolm located?

Kingsley Malcolm practices at 1001 West St, Carthage, NY 13619. The listed phone number is (315) 493-1000.

What is Kingsley Malcolm's specialty?

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

Is Kingsley Malcolm enrolled in Medicare?

Yes. Kingsley Malcolm 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 organizations bill Medicare for Kingsley Malcolm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kingsley Malcolm reassigns Medicare benefits to 3 organizations: Carthage Area Hospital Inc. (Carthage, NY), Claxton-Hepburn Medical Center (Ogdensburg, NY) and Premier Anesthesia Of New York, P.C. (Saranac Lake, NY). 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 Kingsley Malcolm'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 Kingsley Malcolm was last updated on January 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.