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KIMBERLY MALLEY CRNA
NPI 1417907668
Nurse Anesthetist, Certified Registered in Mineral Wells, TX

Active since May 10, 2006Accepts Medicare Assignment
400 SW 25TH AVE, MINERAL WELLS, TX 76067(940) 325-7891(940) 328-6523 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly Malley Crna NPPES

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

KIMBERLY MALLEY CRNA (NPI 1417907668) is an individual nurse anesthetist, certified registered in Mineral Wells, Texas, licensed in Texas (533994) and active in the NPI registry since May 2006. She is affiliated with Glen Rose Medical Center and is a graduate of Other (2003).

NPPES Registry Identity

NPI1417907668
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIMBERLY MALLEYCredential: CRNA
Location Address400 SW 25TH AVEMineral Wells, TX 76067-8246
Mailing Address400 Sw 25th AveMineral Wells, TX 76067-8246 · (940) 325-7891 · Fax (940) 328-6523
Phone(940) 325-7891
Fax(940) 328-6523
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417907668 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 TX · 533994
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.
400 SW 25TH AVE, Mineral Wells, TX 76067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Kimberly Malley 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 ID547239592
PECOS Enrollment IDI20040928000170

Medicare Billing Reassignments

4

Medicare enrollment records show Kimberly Malley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Palo Pinto County Hospital District
Same address
Hospitalist
400 SW 25TH AVE
Mineral Wells, TX 76067
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1104874767 (940) 325-7891
Reliance Anesthesia Group, PLLC
56 mi
Anesthesiology
729 W BEDFORD EULESS RD, SUITE 105
Hurst, TX 76053
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
NPI 1467865600 (817) 516-8811
Anesthesiology Consultants Of North Texas PA
60 mi
Anesthesiology
700 HIGHLANDER BLVD STE 415
Arlington, TX 76015
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group
NPI 1699712596 (817) 516-8811
Youngs Professional Services LLC
422 mi
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
New Iberia, LA 70563
  • Reassigned Medicare billing, Texas enrollment
  • 282 clinicians in this Medicare group
NPI 1922178599 (337) 364-9225

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 exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
131 services131 patients
Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
21 services15 patients

Hospital Affiliations CMS Care Compare

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

Glen Rose Medical Center

Acute Care Hospitals · Glen Rose, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450451
Location1021 Holden StreetGlen Rose, TX 76043 · Somervell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76067 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

PALO PINTO COUNTY HOSPITAL DISTRICT
Clinic/Center
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 745-0484
PALO PINTO COUNTY HOSPITAL DISTRICT
Hospitalist
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891
JOHN JONES MD
Emergency Medicine
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7861
SHAWNTAY SPARKS ACNP-BC
Nurse Practitioner (Acute Care)
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (325) 647-6979
JEFFERY W MCKAMEY CRNA
Nurse Anesthetist, Certified Registered
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891
DR. BURRES W GARRISON III D. O.
Emergency Medicine (Emergency Medical Services)
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891
PALO PINTO GENERAL HOSPITAL
Durable Medical Equipment & Medical Supplies
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891
RAETTA DAWN BRIDGES FNP
Nurse Practitioner (Primary Care)
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891

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 Kimberly Malley's NPI number?

The NPI number for Kimberly Malley is 1417907668. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Kimberly Malley located?

Kimberly Malley practices at 400 SW 25th Ave, Mineral Wells, TX 76067. The listed phone number is (940) 325-7891.

What is Kimberly Malley's specialty?

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

Is Kimberly Malley enrolled in Medicare?

Yes. Kimberly Malley 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 Kimberly Malley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Malley reassigns Medicare benefits to 4 organizations: Palo Pinto County Hospital District (Mineral Wells, TX), Reliance Anesthesia Group, PLLC (Hurst, TX), Anesthesiology Consultants Of North Texas PA (Arlington, TX) and Youngs Professional Services LLC (New Iberia, LA). 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 Kimberly Malley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Malley accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Kimberly Malley 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 Kimberly Malley affiliated with any hospitals?

According to CMS data, Kimberly Malley is affiliated with Glen Rose Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Malley was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.