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JOSHUA ANDREW MALONE MSN, AGACNP-BC, CCRN
NPI 1235765843
Nurse Practitioner in Albany, NY

Active since March 15, 2020PECOS EnrolledAccepts Medicare Assignment
43 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 262-3455 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Mar 15, 2020 (2 updates tracked since 2020).

About Joshua Andrew Malone Msn, Agacnp-bc, Ccrn NPPES

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

JOSHUA ANDREW MALONE MSN, AGACNP-BC, CCRN (NPI 1235765843) is an individual nurse practitioner in Albany, New York, licensed in New York (601839) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235765843
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOSHUA ANDREW MALONECredential: MSN, AGACNP-BC, CCRN
Location Address43 NEW SCOTLAND AVEAlbany, NY 12208-3478
Mailing Address43 New Scotland AveAlbany, NY 12208-3478 · (518) 262-3455
Phone(518) 262-3455
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 15, 2020
Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1235765843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 601839
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 431684 (NY)
43 NEW SCOTLAND AVE, Albany, NY 12208
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Secondary Practice Locations 3

Location 143 New Scotland AveAlbany, NY 12208-3478 · Phone (518) 262-3455
Location 2315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-8600 · Fax (518) 525-6545
Location 32215 Burdett AveTroy, NY 12180-2466 · Phone (518) 525-8600 · Fax (518) 271-3440

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

Joshua Andrew Malone Msn, Agacnp-bc, Ccrn 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 ID6103244744
PECOS Enrollment IDI20200915001244
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 13

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 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.
102 services62 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
66 services66 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services44 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services19 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
19 services19 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$16.34 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 20

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

MS. KELLY N MILES MS, RNC, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-9200
DR. NATHANIEL FRANCIS EKSTROM DO
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE, DEPT. OF EMERGENCY MEDICINE, MAIL CODE: 139
ALBANY, NY 12208
Albany County (518) 262-6455
JESSICA MARIE CARPENTER
Nurse Anesthetist, Certified Registered
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 332-3956
MS. RACHAEL RENEE GREY CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3125
JOSNEL CID
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-6488
DR. JOANNA MIDURA PALUCH DO
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-0144
RITIKA PATEL
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3125
MISS CRISTINA LYNN SILVA MS CCC SLP
Speech-Language Pathologist
43 NEW SCOTLAND AVE, COMMUNICATION DISORDERS DEPARTMENT MC 128
ALBANY, NY 12208
Albany County (518) 262-4526

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 Joshua Malone's NPI number?

The NPI number for Joshua Malone is 1235765843. It was assigned to this individual provider in the NPPES registry on March 15, 2020.

Where is Joshua Malone located?

Joshua Malone practices at 43 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 262-3455.

What is Joshua Malone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Joshua Malone enrolled in Medicare?

Yes. Joshua Malone 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.

Is Joshua Malone affiliated with any hospitals?

According to CMS data, Joshua Malone is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Joshua Malone was last updated on November 15, 2023. 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.