Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Kimberly Malley's specialty?

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

Q: 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 29 days 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 May 10, 2006

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: August 09, 2026.

On this page

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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 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

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

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