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

NICOLE M MALFI NP
NPI 1629534912
Nurse Practitioner - Family in Clayton, NC

Active since February 12, 2019PECOS EnrolledAccepts Medicare Assignment
236 BUTTERNUT LN, CLAYTON, NC 27520(919) 359-1011(919) 359-9122 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Apr 6, 2026, Mar 30, 2026 and 6 more (9 updates tracked since 2019).

About Nicole M Malfi Np NPPES

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

NICOLE M MALFI NP (NPI 1629534912) is an individual family provider in Clayton, North Carolina, licensed in North Carolina (5013142) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and maintains a secondary practice location in Clayton.

NPPES Registry Identity

NPI1629534912
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE M MALFICredential: NP
Location Address236 BUTTERNUT LNClayton, NC 27520-5857
Mailing Address236 Butternut LnClayton, NC 27520-5857 · (919) 359-1011
Fax(919) 359-9122
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 12, 2019
Last NPPES UpdateOctober 9, 20269 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1629534912 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 NC · 5013142
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11676-33 (WI)
236 BUTTERNUT LN, Clayton, NC 27520

Secondary Practice Location 1

Location 137 Pineville Blvd Ste 101Clayton, NC 27527-9355 · Phone (984) 215-5040 · Fax (984) 215-5045

Other Identifiers 3

Medicaid100192432WI
Other11676-33WI · Apnp License
Other264174-30WI · Rn License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole M Malfi 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 ID2567796659
PECOS Enrollment IDI20220208000543
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Malfi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 clinicians in this Medicare group
Internal Medicine
1240 NEW SCOTLAND RD SUITE 205
Slingerlands, NY 12159
  • Reassigned Medicare billing, New York enrollment
  • 742 clinicians in this Medicare group
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
51 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services18 patients
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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27520 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Family Medicine
236 BUTTERNUT LN
CLAYTON, NC 27520
Nurse Practitioner (Family)
236 BUTTERNUT LN
CLAYTON, NC 27520
Clinical Medical Laboratory
236 BUTTERNUT LN
CLAYTON, NC 27520
Physician Assistant
236 BUTTERNUT LN
CLAYTON, NC 27520
Nurse Practitioner (Primary Care)
236 BUTTERNUT LN
CLAYTON, NC 27520
Nurse Practitioner (Family)
236 BUTTERNUT LN
CLAYTON, NC 27520
Family Medicine
236 BUTTERNUT LN
CLAYTON, NC 27520
Nurse Practitioner (Family)
236 BUTTERNUT LN
CLAYTON, NC 27520

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 Nicole Malfi's NPI number?

The NPI number for Nicole Malfi is 1629534912. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Where is Nicole Malfi located?

Nicole Malfi practices at 236 Butternut Ln, Clayton, NC 27520. The listed phone number is (919) 359-1011.

What is Nicole Malfi's specialty?

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

Is Nicole Malfi enrolled in Medicare?

Yes. Nicole Malfi 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.

Which organizations bill Medicare for Nicole Malfi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Malfi reassigns Medicare benefits to 3 organizations: United Medical Associates PC (Binghamton, NY), St. Peter's Health Partners Medical Associates, P.C. (Slingerlands, NY) and Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Malfi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Malfi accept?

Health plans from Blue Cross and Blue Shield of NC list Nicole Malfi 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.

Is Nicole Malfi affiliated with any hospitals?

According to CMS data, Nicole Malfi is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Nicole Malfi was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.