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MS. AMBER MARIE MALCOLM ACNP
NPI 1609203322
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since September 27, 2013PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 BARNES JEWISH HOSPITAL PLZ, DIV NEUROLOGY NEUROMUSCULAR, SAINT LOUIS, MO 63110(314) 362-1408(314) 362-3752 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2016).

About Ms. Amber Marie Malcolm Acnp NPPES

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

MS. AMBER MARIE MALCOLM ACNP (NPI 1609203322) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2013041173) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609203322
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. AMBER MARIE MALCOLMCredential: ACNP
Location Address1 BARNES JEWISH HOSPITAL PLZ, DIV NEUROLOGY NEUROMUSCULARSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-1408 · Fax (314) 362-3752
Phone(314) 362-1408
Fax(314) 362-3752
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 27, 2013
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
✔ NPI 1609203322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2013041173
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid420010374MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Ms. Amber Marie Malcolm Acnp 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 ID6204065501
PECOS Enrollment IDI20140207001331
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services40 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
31 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
3 suppliers32 claims961 services$4.36 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers18 claims7,288 services$0.32 avg. paid by Medicare
Cough stimulating device, alternating positive and negative airway pressure E0482
DME-Other DME · category DE000N
1 supplier55 claims55 services$332.52 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
2 suppliers21 claims22 services$847.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373
MS. KELSEY ELISE FOGUS CRNA
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980

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 Amber Malcolm's NPI number?

The NPI number for Amber Malcolm is 1609203322. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Where is Amber Malcolm located?

Amber Malcolm practices at 1 Barnes Jewish Hospital Plz Div Neurology Neuromuscular, Saint Louis, MO 63110. The listed phone number is (314) 362-1408.

What is Amber Malcolm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amber Malcolm enrolled in Medicare?

Yes. Amber 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 Amber Malcolm accept?

Health plans from Cox HealthPlans list Amber 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 Amber Malcolm was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.