SCOTT A MALSOM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1962493494

SCOTT A MALSOM (CRNA) is a healthcare provider. based in Las vegas, Nevada. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. CRNA000496 (NV). The NPI Number for SCOTT A MALSOM (CRNA) is 1962493494

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT A MALSOM (CRNA)
NPI
1962493494
Phone
(702) 878-0070
Address
9127 W RUSSELL RD STE 110
Enumeration Date
3 November 2005
Last Update Date
9 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4699830099
Graduation Year
2001 (25 years ago)
PAC ID
2062447832
Group Practice PAC ID
4385002682
Professional Enrollment ID
I20170202001352
Address ID
NV89117XXXXLAXXXXXXXXXX00
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

194 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NV

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Provider Addresses for SCOTT A MALSOM (CRNA)

  • West Russell Road, Paradise, Clark County, Nevada, 89158, United States

    LAS VEGAS, NV 891481253

    Phone: (702) 878-0070

    Fax: (702) 209-2064

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-02-02

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
I20170202001352ICertified Registered Nurse Anesthetist (Crna)NVTBD

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
00400Anesthesia for other procedure on skin of arms, legs, and front body1512$0
00790Anesthesia for other procedure on upper abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 89148)

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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: 4385002682View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YNV

Reviews

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Frequently asked questions

Does SCOTT A MALSOM (CRNA) have a public NPI I can cite?
Public records show SCOTT A MALSOM (CRNA) under NPI 1962493494.
Is SCOTT A MALSOM (CRNA)'s NPI status active today?
Active status means SCOTT A MALSOM (CRNA)'s NPI record is not deactivated in the public file.
What does the directory say SCOTT A MALSOM (CRNA) does?
Insurance directories may phrase it differently, but here SCOTT A MALSOM (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit SCOTT A MALSOM (CRNA) in Las Vegas, Nevada?
For routing, start with Las Vegas, Nevada for SCOTT A MALSOM (CRNA), then verify phone and hours locally.
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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