MR. CLINT P. MALCOM MH APRN
NPI 1689620650
Nurse Practitioner - Psychiatric/Mental Health in Kearney, NE
About Mr. Clint P. Malcom Mh Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLINT P. MALCOM MH APRN (NPI 1689620650) is an individual psychiatric/mental health provider in Kearney, Nebraska, licensed in Nebraska (110744) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Clint P. Malcom Mh Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Clint Malcom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kearney, NE 68847
- Reassigned Medicare billing, Nebraska enrollment
- 7 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68845 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KEARNEY, NE 68845
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 Clint Malcom's NPI number?
The NPI number for Clint Malcom is 1689620650. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Clint Malcom located?
Clint Malcom practices at 2315 W 39th St Unit #6, Kearney, NE 68845. The listed phone number is (308) 233-3847.
What is Clint Malcom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Clint Malcom enrolled in Medicare?
Yes. Clint Malcom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Clint Malcom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clint Malcom reassigns Medicare benefits to Serene Mental Health Clinic LLC (Kearney, NE). 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 Clint Malcom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clint Malcom accept?
Health plans from Blue Cross and Blue Shield of Nebraska list Clint Malcom 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.
When was this NPI record last updated?
The NPPES record for Clint Malcom was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mr. Clint P. Malcom, MH APRN · NPI 1689620650
Psychiatric/Mental Health physician in Kearney, Nebraska. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1689620650 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 110744 (Nebraska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2315 W 39TH ST, UNIT #6, Kearney, NE 68845-8327
- **Phone:** (308) 233-3847 · **Fax:** (308) 233-5921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Serene Mental Health Clinic LLC (NPI 1184963126, Kearney, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2008
- **Other identifiers:** Medicare PIN NA1006 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1689620650) · Data from the CMS NPPES public registry.