Theresa Malcom, FNP
NPI 1871224576 · Family Nurse Practitioner · Elkhart, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Malcom, FNP is a Family Nurse Practitioner provider in Elkhart, IN (NPI 1871224576).
Provider details
- NPI number
- 1871224576
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- F05220661 (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
309 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 187 | $101 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 88 | $13 |
| Smoking and Tobacco Use Intensive Counseling, 4-10 Minutes99406 | 23 | $11 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 11 | $141 |
Typical Medicare-allowed amounts for these services range $11–$141 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 229 | 49 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 114 | 53 |
| Prednisone | 60 | 33 |
| Pantoprazole Sodium | 50 | 15 |
| Montelukast Sodium | 46 | 16 |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 42 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$858 across 33 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 23853 Summerwood LnElkhart, IN 46517-3592Phone: (574) 298-5054
Registry dates
- Enumerated
- 2022-06-22
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Frequently asked questions
- What is Theresa Malcom's NPI number?
- Theresa Malcom's National Provider Identifier (NPI) is 1871224576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Malcom's specialty?
- Theresa Malcom is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Malcom located?
- Theresa Malcom's practice location on file with NPPES is 500 Arcade Ave Ste 210, Elkhart, IN 46514.
- What is Theresa Malcom's phone number?
- The practice phone number listed in the NPPES registry for Theresa Malcom is (574) 389-5656.
- Does Theresa Malcom accept Medicare?
- Theresa Malcom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Malcom's NPI active?
- Yes — Theresa Malcom's NPI (1871224576) is active in the NPPES registry as of the last update on 2023-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.