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ANDREA MALCOLM CRNA
NPI 1285668368
Nurse Anesthetist, Certified Registered in Allentown, PA

Active since July 11, 2006Accepts Medicare Assignment
5000 W TILGHMAN ST, SUITE 240, ALLENTOWN, PA 18104(610) 395-4044(610) 395-5693 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Malcolm Crna NPPES

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

ANDREA MALCOLM CRNA (NPI 1285668368) is an individual nurse anesthetist, certified registered in Allentown, Pennsylvania, licensed in Pennsylvania (RN562502) and active in the NPI registry since July 2006. She is affiliated with Methodist Hospital and is a graduate of Other (2006).

NPPES Registry Identity

NPI1285668368
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameANDREA MALCOLMCredential: CRNA
Location Address5000 W TILGHMAN ST, SUITE 240Allentown, PA 18104-9150
Mailing Address5000 Tilghman St, Suite 240Allentown, PA 18104-9150 · (610) 395-4044 · Fax (610) 395-5693
Phone(610) 395-4044
Fax(610) 395-5693
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 6, 2010
✔ NPI 1285668368 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 PA · RN562502
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.
5000 W TILGHMAN ST, Allentown, PA 18104
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Other Names 1

Former Name (1)Andrea Thomas Crna

Other Identifiers 1

Medicare UPIN102519PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community First.Insurance ›

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

Andrea 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 ID6002819422
PECOS Enrollment IDI20190730001827

Medicare Billing Reassignments

5

Medicare enrollment records show Andrea Malcolm reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grasshopper Anesthesia Services PLLC
1,229 mi
Nurse Anesthetist, Certified Registered
3610 N UNIVERSITY DR
Nacogdoches, TX 75965
  • Reassigned Medicare billing, Texas enrollment
  • 118 clinicians in this Medicare group
NPI 1932635752 (936) 560-9599
Northstar Anesthesia, PA
1,306 mi
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Texas enrollment
  • 1,164 clinicians in this Medicare group
NPI 1912978610 (817) 861-3994
Emergenchealth PLLC
1,325 mi
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
NPI 1467970897 (972) 861-1270
Lone Star Anesthesia Partners PLLC
1,497 mi
Anesthesiology
19802 MESSINA
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 144 clinicians in this Medicare group
NPI 1124760996 (210) 412-4310
Frio Hospital Association
1,555 mi
Clinic/Center
105 E HACKBERRY ST STE A
Pearsall, TX 78061
  • Reassigned Medicare billing, Texas enrollment
  • 100 clinicians in this Medicare group
NPI 1053195032 (830) 334-2656

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

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
20 services20 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
97%60 patients4/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
97%182 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.

Other Providers at the Same Location NPPES 19

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

INDIVIDUAL AND FAMILY COUNSELING SERVICES OF THE LEHIGH VALLEY, P.C.
Psychologist (Counseling)
5000 W TILGHMAN ST, SUITE 206
ALLENTOWN, PA 18104
Lehigh County (610) 799-5772
LESLIE LEDONNE CRNA
Nurse Anesthetist, Certified Registered
5000 W TILGHMAN ST, SUITE 240
ALLENTOWN, PA 18104
Lehigh County (610) 395-4044
MR. PATRICK MICHAEL MCMAHON CRNA
Nurse Anesthetist, Certified Registered
5000 W TILGHMAN ST, SUITE 240
ALLENTOWN, PA 18104
Lehigh County (610) 395-4044
AMY SERAFIN CRNA
Nurse Anesthetist, Certified Registered
5000 W TILGHMAN ST, STE 240
ALLENTOWN, PA 18104
Lehigh County (610) 395-4044
DIAKON LUTHERAN SOCIAL MINISTRIES
Home Health
5000 W TILGHMAN ST
ALLENTOWN, PA 18104
Lehigh County (610) 391-2348
CAROLE MILLER CRNA
Nurse Anesthetist, Certified Registered
5000 W TILGHMAN ST, SUITE 240
ALLENTOWN, PA 18104
Lehigh County (610) 395-4044
MRS. KATHLEEN ANN AYMIN CRNA
Nurse Anesthetist, Certified Registered
5000 W TILGHMAN ST, STE 240
ALLENTOWN, PA 18104
Lehigh County (610) 395-4044
DR. RONALD IVAN REITER D.M.D.
Dentist (Dentist Anesthesiologist)
5000 W TILGHMAN ST, SUITE 240
ALLENTOWN, PA 18104
Lehigh County (610) 395-4044

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 Malcolm's NPI number?

The NPI number for Andrea Malcolm is 1285668368. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Andrea Thomas Crna.

Where is Andrea Malcolm located?

Andrea Malcolm practices at 5000 W Tilghman St Suite 240, Allentown, PA 18104. The listed phone number is (610) 395-4044.

What is Andrea Malcolm's specialty?

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

Is Andrea Malcolm enrolled in Medicare?

Yes. Andrea 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 Andrea Malcolm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Malcolm reassigns Medicare benefits to 5 organizations: Grasshopper Anesthesia Services PLLC (Nacogdoches, TX), Northstar Anesthesia, PA (Arlington, TX), Emergenchealth PLLC (Fort Worth, TX), Lone Star Anesthesia Partners PLLC (San Antonio, TX) and Frio Hospital Association (Pearsall, TX). 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 Andrea Malcolm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Malcolm accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Community First list Andrea 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.

Is Andrea Malcolm affiliated with any hospitals?

According to CMS data, Andrea Malcolm is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Malcolm was last updated on October 6, 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.