KRISTIN LEE MALONE RN, CPNP
NPI 1649622184
Nurse Practitioner - Pediatrics in Providence, RI

Active since July 08, 2016PECOS Enrolled
355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 15, 2021, Aug 17, 2016 (2 updates tracked since 2016).

About Kristin Lee Malone Rn, Cpnp NPPES

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

KRISTIN LEE MALONE RN, CPNP (NPI 1649622184) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (APRN01438) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649622184
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKRISTIN LEE MALONECredential: RN, CPNP
Location Address355 PRAIRIE AVEProvidence, RI 02905-1928
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 444-0468
Fax(401) 444-0427
Sole ProprietorNo
Enumeration DateJuly 8, 2016
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1649622184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in RI · APRN01438
Also ListedRegistered NurseTaxonomy 163W00000X · License RN55323 (RI)
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN2299166 (MA)
355 PRAIRIE AVE, Providence, RI 02905

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Lee Malone Rn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kristin Malone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
375 ALLENS AVE
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 112 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

Family Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor (Mental Health)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Pediatrics
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Internal Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Registered Nurse (Diabetes Educator)
355 PRAIRIE AVE
PROVIDENCE, RI 02905

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 Kristin Malone's NPI number?

The NPI number for Kristin Malone is 1649622184. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Kristin Malone located?

Kristin Malone practices at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 444-0570.

What is Kristin Malone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kristin Malone enrolled in Medicare?

Yes. Kristin Malone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristin Malone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Malone reassigns Medicare benefits to The Providence Community Health Centers, Inc (Providence, RI). The 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 Kristin Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristin Malone was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.