ALISA RENEE MALONE APRN-CNP
NPI 1962286393
Nurse Practitioner - Family in Upper Arlington, OH

Active since August 24, 2023PECOS EnrolledAccepts Medicare Assignment
1955 HENDERSON RD, UPPER ARLINGTON, OH 43220(614) 340-7546 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alisa Renee Malone Aprn-cnp NPPES

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

ALISA RENEE MALONE APRN-CNP (NPI 1962286393) is an individual family provider in Upper Arlington, Ohio, licensed in Ohio (APRN.CNP.0034638) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962286393
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISA RENEE MALONECredential: APRN-CNP
Location Address1955 HENDERSON RDUpper Arlington, OH 43220-2401
Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 24, 2023
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
NPI 1962286393 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 OH · APRN.CNP.0034638
1955 HENDERSON RD, Upper Arlington, OH 43220

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

Alisa Renee Malone Aprn-cnp 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 ID3971957754
PECOS Enrollment IDI20250729001274
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43220 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 4

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1955 HENDERSON RD
UPPER ARLINGTON, OH 43220
Pharmacy (Community/Retail Pharmacy)
1955 HENDERSON RD
UPPER ARLINGTON, OH 43220
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1955 HENDERSON RD
UPPER ARLINGTON, OH 43220
Nurse Practitioner (Family)
1955 HENDERSON RD
COLUMBUS, OH 43220

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 Alisa Malone's NPI number?

The NPI number for Alisa Malone is 1962286393. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Alisa Malone located?

Alisa Malone practices at 1955 Henderson Rd, Upper Arlington, OH 43220. The listed phone number is (614) 340-7546.

What is Alisa Malone's specialty?

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

Is Alisa Malone enrolled in Medicare?

Yes. Alisa Malone 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.

What insurance does Alisa Malone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Alisa Malone 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.

Is Alisa Malone affiliated with any hospitals?

According to CMS data, Alisa Malone is affiliated with Mt Sinai Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Alisa Malone was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.