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MS. SHAUNTELLE MALCOLM RN
NPI 1225468804
Nurse Practitioner - Psychiatric/Mental Health in Mattapan, MA

Active since November 19, 2013PECOS Enrolled
1575 BLUE HILL AVE, MATTAPAN, MA 02126(617) 296-0061(617) 296-5408 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shauntelle Malcolm Rn NPPES

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

MS. SHAUNTELLE MALCOLM RN (NPI 1225468804) is an individual psychiatric/mental health provider in Mattapan, Massachusetts, licensed in Massachusetts (RN2278372) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1225468804
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SHAUNTELLE MALCOLMCredential: RN
Location Address1575 BLUE HILL AVEMattapan, MA 02126-2122
Mailing Address1575 Blue Hill AveMattapan, MA 02126-2122 · (617) 296-0061 · Fax (617) 296-5408
Phone(617) 296-0061
Fax(617) 296-5408
Sole ProprietorYes
Enumeration DateNovember 19, 2013
Last NPPES UpdateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1225468804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2278372
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2278372 (MA)
1575 BLUE HILL AVE, Mattapan, MA 02126
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Secondary Practice Location 1

Location 1780 Albany StBoston, MA 02118-2524 · Phone (857) 654-1000 · Fax (857) 654-1100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shauntelle Malcolm Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02126 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

SAMSON YU
Pharmacist
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
DR. MICHELLE DALENCOUR M.D.
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
CVS PHARMACY INC
Pharmacy
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
ZHEN RUAN
Dental Hygienist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
DR. JASON LANIER OUTLAW DMD, DMSC
Dentist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
EMILY CASTELLANOS
Counselor (Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
VICTORIA ELENA OLIVA RAPOPORT MD
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
TIN DANG
Pharmacist
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282

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 Shauntelle Malcolm's NPI number?

The NPI number for Shauntelle Malcolm is 1225468804. It was assigned to this individual provider in the NPPES registry on November 19, 2013.

Where is Shauntelle Malcolm located?

Shauntelle Malcolm practices at 1575 Blue Hill Ave, Mattapan, MA 02126. The listed phone number is (617) 296-0061.

What is Shauntelle Malcolm's specialty?

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

Is Shauntelle Malcolm enrolled in Medicare?

Yes. Shauntelle Malcolm is registered in the Medicare PECOS enrollment system.

What insurance does Shauntelle Malcolm accept?

Health plans from Anthem Blue Cross and Blue Shield list Shauntelle Malcolm 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 Shauntelle Malcolm was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.