JAMES MALKUCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053747667
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN
Provider Addresses for JAMES MALKUCH (CRNA)
10050 67TH AVE NW
PENNOCK, MN 562799788
Phone:
Type: Mailing
301 BECKER AVE SW
WILLMAR, MN 562013302
Phone: (320) 235-4543
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2014-01-10
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140110000134 | I | Certified Registered Nurse Anesthetist (Crna) | MN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 24 | 23 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 56279)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Physical Therapist In Private Practice | MN | |
| Family Practice | MN | |
| N E U R O L O G Y | MN | |
| Nurse Practitioner | MN | |
| Internal Medicine | MN | |
| General Surgery | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Surgery | MN |
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