THERESA MALCOM FNP
NPI 1871224576
Nurse Practitioner - Family in Elkhart, IN

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
500 ARCADE AVE STE 210, ELKHART, IN 46514(574) 389-5656(574) 523-7891 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theresa Malcom Fnp NPPES

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

THERESA MALCOM FNP (NPI 1871224576) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71012835A) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains a secondary practice location in Elkhart.

NPPES Registry Identity

NPI1871224576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA MALCOMCredential: FNP
Location Address500 ARCADE AVE STE 210Elkhart, IN 46514
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2129
Fax(574) 523-7891
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
Last NPPES UpdateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
NPI 1871224576 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 IN · 71012835A
Also ListedFamily MedicineTaxonomy 207Q00000X · License F05220661 (IN)
500 ARCADE AVE STE 210, Elkhart, IN 46514

Secondary Practice Location 1

Location 123853 Summerwood LnElkhart, IN 46517-3592 · Phone (574) 298-5054

Other Identifiers 2

Medicaid300068982IN
Other236040463Medicare

Accepted Insurance

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

Theresa Malcom Fnp 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 ID6406222991
PECOS Enrollment IDI20221025002513
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.

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 14

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

Nurse Practitioner (Family)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Nurse Practitioner (Acute Care)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Anesthesiology (Critical Care Medicine)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Nurse Practitioner (Family)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Internal Medicine (Critical Care Medicine)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Internal Medicine (Pulmonary Disease)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Nurse Practitioner (Family)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Nurse Practitioner (Acute Care)
500 ARCADE AVE STE 210
ELKHART, IN 46514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871224576, enumerated as an "individual" on June 22, 2022.

The provider is located at 500 ARCADE AVE STE 210 ELKHART, IN 46514 and the phone number is (574) 389-5656.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Theresa Malcom is affiliated with: ELKHART GENERAL HOSPITAL and MEMORIAL HOSPITAL OF SOUTH BEND.