MRS. KATHLEEN MARCELLA MALARA FNP
NPI 1417107103
Nurse Practitioner - Family in Beacon, NY
About Mrs. Kathleen Marcella Malara Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHLEEN MARCELLA MALARA FNP (NPI 1417107103) is an individual family provider in Beacon, New York, licensed in New York (332230) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kathleen Marcella Malara Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Malara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peekskill, NY 10566
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
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 12508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEACON, NY 12508
BEACON, NY 12508
BEACON, NY 12508
BEACON, NY 12508
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 Kathleen Malara's NPI number?
The NPI number for Kathleen Malara is 1417107103. It was assigned to this individual provider in the NPPES registry on September 30, 2008.
Where is Kathleen Malara located?
Kathleen Malara practices at 6 Henry St Hudson River Healthcare, Inc., Beacon, NY 12508. The listed phone number is (845) 831-0400.
What is Kathleen Malara's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathleen Malara enrolled in Medicare?
Yes. Kathleen Malara is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Malara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Malara reassigns Medicare benefits to Sun River Health Inc. (Peekskill, 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 Kathleen Malara'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 Kathleen Malara was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Kathleen Marcella Malara, FNP · NPI 1417107103
Family physician in Beacon, New York. Individual provider, active in the CMS NPPES registry since September 30, 2008.
## Identity
- **NPI:** 1417107103 (Entity type: Individual)
- **Enumerated:** September 30, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 332230 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 HENRY ST, HUDSON RIVER HEALTHCARE, INC., Beacon, NY 12508-3058
- **Phone:** (845) 831-0400 · **Fax:** (845) 831-0793
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sun River Health Inc. (NPI 1619969458, Peekskill, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2012
- **Other identifiers:** Medicare PIN A400046584 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1417107103) · Data from the CMS NPPES public registry.