JOSEPH MALCOLM (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1467117994

JOSEPH MALCOLM (NP) is a healthcare provider. based in North aurora, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209-024202 (IL). The NPI Number for JOSEPH MALCOLM (NP) is 1467117994

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH MALCOLM (NP)
NPI
1467117994
Phone
(630) 801-1669
Address
106 S Lincolnway
Enumeration Date
31 October 2021
Last Update Date
31 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083837500
Graduation Year
2020 (6 years ago)
PAC ID
9234517996
Group Practice PAC ID
7810809019
Professional Enrollment ID
I20220608001928
Address ID
IL603022809OA120XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

11,703 NURSE PRACTITIONER in IL

Provider Addresses for JOSEPH MALCOLM (NP)

  • 106 S Lincolnway

    North Aurora, IL 605421663

    Phone: (630) 801-1669

    Type: Location

  • 4147 CALLERY RD

    NAPERVILLE, IL 605645006

    Phone: (630) 276-9363

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-09-26 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220608001928INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60542)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810809019View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL
-IL
Nurse PractitionerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
-IL

Reviews

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Frequently asked questions

What number should I use to identify JOSEPH MALCOLM (NP) for billing?
Administrative and clinical systems typically use NPI 1467117994 for JOSEPH MALCOLM (NP).
Does the public listing show JOSEPH MALCOLM (NP) as active?
JOSEPH MALCOLM (NP)'s NPI record reflects an active status in NPPES.
What services align with JOSEPH MALCOLM (NP)'s listing?
JOSEPH MALCOLM (NP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JOSEPH MALCOLM (NP)?
JOSEPH MALCOLM (NP) shows a connection to North Aurora, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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