KIMBERLY AMBROSIA MALFABON FNP-C
NPI 1689563595
Nurse Practitioner - Family in Grants Pass, OR

Active since July 03, 2025PECOS EnrolledAccepts Medicare Assignment
500 SW RAMSEY AVE, GRANTS PASS, OR 97527(541) 472-7000 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2025, Jul 3, 2025 (2 updates tracked since 2025).

About Kimberly Ambrosia Malfabon Fnp-c NPPES

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

KIMBERLY AMBROSIA MALFABON FNP-C (NPI 1689563595) is an individual family provider in Grants Pass, Oregon, licensed in Oregon (10036681) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689563595
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY AMBROSIA MALFABONCredential: FNP-C
Location Address500 SW RAMSEY AVEGrants Pass, OR 97527-5554
Mailing Address500 Sw Ramsey AveGrants Pass, OR 97527-5554 · (541) 472-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 3, 2025
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1689563595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10036681
500 SW RAMSEY AVE, Grants Pass, OR 97527

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

Kimberly Ambrosia Malfabon 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 ID4789182742
PECOS Enrollment IDI20250808001980
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

2

Medicare enrollment records show Kimberly Malfabon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
500 SW RAMSEY AVENUE
Grants Pass, OR 97527
  • Reassigned Medicare billing, Oregon enrollment
  • 207 clinicians in this Medicare group
27 mi
General Acute Care Hospital
2825 E BARNETT RD
Medford, OR 97504
  • Reassigned Medicare billing, Oregon enrollment
  • 267 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.

Hospital Affiliations CMS Care Compare 2

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97527 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Emergency Medicine
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Physician Assistant
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Nurse Anesthetist, Certified Registered
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Internal Medicine
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Nurse Practitioner (Family)
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Registered Nurse (Emergency)
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Nurse Anesthetist, Certified Registered
500 SW RAMSEY AVE
GRANTS PASS, OR 97527
Nurse Practitioner (Family)
500 SW RAMSEY AVE
GRANTS PASS, OR 97527

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 Kimberly Malfabon's NPI number?

The NPI number for Kimberly Malfabon is 1689563595. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Kimberly Malfabon located?

Kimberly Malfabon practices at 500 SW Ramsey Ave, Grants Pass, OR 97527. The listed phone number is (541) 472-7000.

What is Kimberly Malfabon's specialty?

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

Is Kimberly Malfabon enrolled in Medicare?

Yes. Kimberly Malfabon 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 Kimberly Malfabon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Malfabon reassigns Medicare benefits to 2 organizations: Asante Three Rivers Medical Center, LLC (Grants Pass, OR) and Asante (Medford, OR). 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 Kimberly Malfabon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Malfabon affiliated with any hospitals?

According to CMS data, Kimberly Malfabon is affiliated with Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Malfabon was last updated on July 9, 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.