MR. CLINT P. MALCOM (MH APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1689620650

MR. CLINT P. MALCOM (MH APRN) is a healthcare provider. based in Kearney, Nebraska. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials MH APRN. They hold a License No. 110744 (NE). The NPI Number for MR. CLINT P. MALCOM (MH APRN) is 1689620650

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. CLINT P. MALCOM (MH APRN)
NPI
1689620650
Phone
(308) 233-3847
Address
2315 W 39TH ST
Enumeration Date
25 May 2006
Last Update Date
14 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
3678573219
Professional Enrollment ID
I20070105000201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. CLINT P. MALCOM (MH APRN)

  • e5counseling, LLC, 2315, West 39th Street, Kearney, Buffalo County, Nebraska, 68845, United States

    UNIT #6

    KEARNEY, NE 688458327

    Phone: (308) 233-3847

    Fax: (308) 233-5921

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 177 Open Payments records for all available years, with a total value of $2,458.

Total Amount is formed as General ($2,458) + Research ($0) + Ownership ($0) = $2,458.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($674).

Total Amount

$2,458

General + Research + Ownership

Payments

177

Total payment records

General Amount

$2,458

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2007-01-05

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
I20070105000201INurse PractitionerNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes24960$0
99213Established patient office or other outpatient visit, 20-29 minutes4226$0
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Insurance plans in this area (ZIP 68845)

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Provider's Procedures

MR. CLINT P. MALCOM (MH APRN) performs procedures in Psychiatric/Mental Health Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERNE90792Psychiatric diagnostic evaluation with medical services1616

Reviews

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Frequently asked questions

Does MR. CLINT P. MALCOM (MH APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. CLINT P. MALCOM (MH APRN) uses 1689620650.
Does the file indicate MR. CLINT P. MALCOM (MH APRN) is practicing under active NPI?
Directory data currently reports MR. CLINT P. MALCOM (MH APRN) as active.
What is MR. CLINT P. MALCOM (MH APRN)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MR. CLINT P. MALCOM (MH APRN) here. Clinical services aligned with this taxonomy classification.
What area does MR. CLINT P. MALCOM (MH APRN) serve?
MR. CLINT P. MALCOM (MH APRN)'s listing highlights Kearney, Nebraska; more addresses can appear in NPPES.
Why does MR. CLINT P. MALCOM (MH APRN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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