MRS. KEISHA DIANE MALONE PMHNP-BC
NPI 1366177156
Nurse Practitioner - Psychiatric/Mental Health in Redford, MI

Q: What is Keisha Malone's NPI number?

The NPI number for Keisha Malone is 1366177156. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Q: What is Keisha Malone's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keisha Malone was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 18, 2022PECOS Enrolled

15611 FOX, REDFORD, MI 48239(313) 207-5843 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Keisha Diane Malone Pmhnp-bc NPPES

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

MRS. KEISHA DIANE MALONE PMHNP-BC (NPI 1366177156) is an individual psychiatric/mental health provider in Redford, Michigan, licensed in Michigan (4704301992) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366177156

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. KEISHA DIANE MALONECredential: PMHNP-BC

Location Address15611 FOXRedford, MI 48239-3976

Mailing Address15611 FoxRedford, MI 48239-3976 · (313) 207-5843

Phone(313) 207-5843

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 18, 2022

NPPES CertifiedJuly 18, 2022

✔ NPI 1366177156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704301992

15611 FOX, Redford, MI 48239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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)

Mrs. Keisha Diane Malone Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193108504

PECOS Enrollment IDI20260520004083

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 48239 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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 Keisha Malone's NPI number?

The NPI number for Keisha Malone is 1366177156. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Keisha Malone located?

Keisha Malone practices at 15611 Fox, Redford, MI 48239. The listed phone number is (313) 207-5843.

What is Keisha Malone's specialty?

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

Is Keisha Malone enrolled in Medicare?

Yes. Keisha Malone is registered in the Medicare PECOS enrollment system.

What insurance does Keisha Malone accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Keisha Malone 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 Keisha Malone was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.