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MS. MAUREEN ANN MALONE ANP-C
NPI 1407015654
Nurse Practitioner - Adult Health in Smithtown, NY

Active since June 03, 2008PECOS Enrolled
91.25/100
CMS Quality Rating
50 ROUTE 25A, SMITHTOWN, NY 11787(631) 862-3000 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Maureen Ann Malone Anp-c NPPES

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

MS. MAUREEN ANN MALONE ANP-C (NPI 1407015654) is an individual adult health provider in Smithtown, New York, licensed in New York (304441) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407015654
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. MAUREEN ANN MALONECredential: ANP-C
Location Address50 ROUTE 25ASmithtown, NY 11787-1348
Mailing Address535 Elwood RdEast Northport, NY 11731-4806 · (631) 368-0743
Phone(631) 862-3000
Sole ProprietorYes
Enumeration DateJune 3, 2008
✔ NPI 1407015654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 304441
50 ROUTE 25A, Smithtown, NY 11787
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Maureen Ann Malone Anp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Maureen Malone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore-Lij Medical PC
26 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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 11787 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

DR. MANISHA KANUMURI MD
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
KIYOSHI TAIBU CHANDLER DO
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 376-4163
SALMA SANZIDA ISLAM M.D
Internal Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
DR. NICOLAE DRAGOS BIZETA MD
Internal Medicine (Infectious Disease)
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 406-0006
ISLAM FURSAN HASASNA DO
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
DR. DIANA Z AKBERZIE MD
Internal Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3890
ST. CATHERINE OF SIENA MEDICAL CENTER
General Acute Care Hospital
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3541
DR. JOSHUA PETER BOZEK D.O.
Emergency Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3111

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 Maureen Malone's NPI number?

The NPI number for Maureen Malone is 1407015654. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Maureen Malone located?

Maureen Malone practices at 50 Route 25A, Smithtown, NY 11787. The listed phone number is (631) 862-3000.

What is Maureen Malone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Maureen Malone enrolled in Medicare?

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

Which organization bills Medicare for Maureen Malone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Malone reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). The 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 Maureen Malone'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 Maureen Malone was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.