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

Q: 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.

Q: What is Kimberly Malfabon's specialty?

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

Q: 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 13 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.

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: August 16, 2026.

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

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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

Phone(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

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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

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.

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.

GREGORY ROBERT OWENS MD

Emergency Medicine