ALEXANDRA MALKUCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1689186207

ALEXANDRA MALKUCH (CRNA) is a healthcare provider. based in Pennock, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 10167 (MN). The NPI Number for ALEXANDRA MALKUCH (CRNA) is 1689186207

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA MALKUCH (CRNA)
NPI
1689186207
Phone
Not provided
Address
10050 67TH AVE NW
Enumeration Date
5 November 2017
Last Update Date
1 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122734097
Graduation Year
2017 (9 years ago)
PAC ID
3476813668
Group Practice PAC ID
7315986064
Professional Enrollment ID
I20180208000622
Address ID
MN554541450MI2450XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for ALEXANDRA MALKUCH (CRNA)

  • 10050 67TH AVE NW

    PENNOCK, MN 562799788

    Phone:

    Type: Mailing

  • 2450 Riverside Ave

    Minneapolis, MN 554541450

    Phone: (612) 273-3000

    Type: Location

  • 143 Lake Ave N

    Spicer, MN 562889616

    Phone: (320) 460-2821

    Type: Location

  • 301, Becker Avenue Southwest, Willmar, Kandiyohi County, Minnesota, 56201, United States

    WILLMAR, MN 562013302

    Phone: (320) 253-4543

    Type: Location

  • 143 LAKE AVE N

    SPICER, MN 562889616

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $760.

Total Amount is formed as General ($760) + Research ($0) + Ownership ($0) = $760.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($684).

Total Amount

$760

General + Research + Ownership

Payments

7

Total payment records

General Amount

$760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2018-02-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180208000622ICertified Registered Nurse Anesthetist (Crna)MNTBD

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 56279)

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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: 7315986064View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YIA
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN

Reviews

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Frequently asked questions

Does ALEXANDRA MALKUCH (CRNA) have a public NPI I can cite?
Public records show ALEXANDRA MALKUCH (CRNA) under NPI 1689186207.
Quick check: is ALEXANDRA MALKUCH (CRNA) active?
Public NPPES data shows ALEXANDRA MALKUCH (CRNA) with an active NPI status right now.
What type of care does ALEXANDRA MALKUCH (CRNA) provide?
ALEXANDRA MALKUCH (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to ALEXANDRA MALKUCH (CRNA)?
The directory associates ALEXANDRA MALKUCH (CRNA) with Pennock, Minnesota. Check all listed addresses for suites or satellite offices.
Why is information missing for ALEXANDRA MALKUCH (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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