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JOSEPH MALCOLM NP
NPI 1467117994
Nurse Practitioner - Psychiatric/Mental Health in Naperville, IL

Active since October 31, 2021PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
4147 CALLERY RD, NAPERVILLE, IL 60564(630) 276-9363 Get Directions Write a Review

NPPES record last updated: October 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph Malcolm Np NPPES

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

JOSEPH MALCOLM NP (NPI 1467117994) is an individual psychiatric/mental health provider in Naperville, Illinois, licensed in Illinois (209-024202) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in North Aurora, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467117994
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOSEPH MALCOLMCredential: NP
Location Address4147 CALLERY RDNaperville, IL 60564-5006
Mailing Address4147 Callery RdNaperville, IL 60564-5006 · (630) 276-9363
Phone(630) 276-9363
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 31, 2021
NPPES CertifiedOctober 31, 2021
✔ NPI 1467117994 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 IL · 209-024202
4147 CALLERY RD, Naperville, IL 60564
Open in Google Maps ↗

Secondary Practice Location 1

Location 1106 S LincolnwayNorth Aurora, IL 60542-1663 · Phone (630) 801-1669

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Joseph Malcolm Np 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 ID9234517996
PECOS Enrollment IDI20220608001928
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60564 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRITIKAL KARE LLC
Nurse Practitioner (Psychiatric/Mental Health)
4147 CALLERY RD
NAPERVILLE, IL 60564
Will County (630) 226-9191

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 Joseph Malcolm's NPI number?

The NPI number for Joseph Malcolm is 1467117994. It was assigned to this individual provider in the NPPES registry on October 31, 2021.

Where is Joseph Malcolm located?

Joseph Malcolm practices at 4147 Callery Rd, Naperville, IL 60564. The listed phone number is (630) 276-9363.

What is Joseph Malcolm's specialty?

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

Is Joseph Malcolm enrolled in Medicare?

Yes. Joseph Malcolm 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.

What insurance does Joseph Malcolm accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Providence Health Plan list Joseph Malcolm 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 Joseph Malcolm was last updated on October 31, 2021. 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.