JOAN PATRICIA MALCOLM FNP
NPI 1629389168
Nurse Practitioner - Family in Mn 008-b213 Minnetonka, MN
About Joan Patricia Malcolm Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOAN PATRICIA MALCOLM FNP (NPI 1629389168) is an individual family provider in Mn 008-b213 Minnetonka, Minnesota, licensed in New York (339033) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joan Patricia Malcolm Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNETONKA, MN 55343
MINNETONKA, MN 55343
MINNETONKA, MN 55343
MINNETONKA, MN 55343
MINNENTONKA, MN 55343
MINNETONKA, MN 55343
MINNETONKA, MN 55343
MINNETONKA, MN 55343
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 Joan Malcolm's NPI number?
The NPI number for Joan Malcolm is 1629389168. It was assigned to this individual provider in the NPPES registry on June 30, 2010.
Where is Joan Malcolm located?
Joan Malcolm practices at 9900 Bren Road East, Mn 008-B213 Minnetonka, MN 55343. The listed phone number is (646) 247-6174.
What is Joan Malcolm's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Joan Malcolm enrolled in Medicare?
Yes. Joan Malcolm is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Joan Malcolm was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Joan Patricia Malcolm, FNP · NPI 1629389168
Family physician in Mn 008-b213 Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since June 30, 2010.
## Identity
- **NPI:** 1629389168 (Entity type: Individual)
- **Enumerated:** June 30, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 339033 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9900 BREN ROAD EAST, Mn 008-b213 Minnetonka, MN 55343
- **Phone:** (646) 247-6174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1629389168) · Data from the CMS NPPES public registry.