MRS. VIVARIAN NICOLE MALCOLM FNP-C
NPI 1558089607
Nurse Practitioner - Family in Riverview, FL

Q: What is Vivarian Malcolm's NPI number?

The NPI number for Vivarian Malcolm is 1558089607. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Q: What is Vivarian Malcolm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Vivarian Malcolm was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 16, 2022PECOS EnrolledAccepts Medicare Assignment

7229 US HIGHWAY 301 S, RIVERVIEW, FL 33578(813) 677-8418(813) 355-5906 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2024, Nov 28, 2022, Sep 27, 2022 and 2 more (5 updates tracked since 2022).

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About Mrs. Vivarian Nicole Malcolm Fnp-c NPPES

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

MRS. VIVARIAN NICOLE MALCOLM FNP-C (NPI 1558089607) is an individual family provider in Riverview, Florida, licensed in Florida (APRN11021420) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1558089607

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. VIVARIAN NICOLE MALCOLMCredential: FNP-C

Location Address7229 US HIGHWAY 301 SRiverview, FL 33578-4346

Mailing Address7229 Us Highway 301 SRiverview, FL 33578-4346 · (813) 677-8418 · Fax (813) 355-5906

Phone(813) 677-8418

Fax(813) 355-5906

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 16, 2022

Last NPPES UpdateDecember 13, 20245 updates tracked since enumeration

NPPES CertifiedDecember 13, 2024

✔ NPI 1558089607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11021420

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11021420 (FL)

7229 US HIGHWAY 301 S, Riverview, FL 33578

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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

Mrs. Vivarian Nicole Malcolm Fnp-c 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 ID5193197572

PECOS Enrollment IDI20241107004319

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.

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Tampa General Hospital

Acute Care Hospitals · Tampa, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100128

Location1 Tampa General CirTampa, FL 33606 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33578 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

MELISSA GARRISON SMITH APRN

Nurse Practitioner (Family)