CARRIE LYNN MALFATTO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174558167

CARRIE LYNN MALFATTO (CRNA) is a healthcare provider. based in Columbus, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN.CRNA.08546 (OH). The NPI Number for CARRIE LYNN MALFATTO (CRNA) is 1174558167

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE LYNN MALFATTO (CRNA)
NPI
1174558167
Phone
(614) 293-8487
Address
410 W 10th Ave Fl 1
Enumeration Date
11 July 2006
Last Update Date
7 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142938487
Graduation Year
2005 (21 years ago)
PAC ID
5991742330
Group Practice PAC ID
3375692270
Professional Enrollment ID
I20060323000158
Address ID
OH432101240CO460XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for CARRIE LYNN MALFATTO (CRNA)

  • 410 W 10th Ave Fl 1

    Columbus, OH 432101240

    Phone: (614) 293-8487

    Fax: (614) 293-8153

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-8487

    Type: Mailing

  • Mount Carmel New Albany Surgical Hospital, 7333, Smith's Mill Road, New Albany, Plain Township, Ohio, 43054, United States

    NEW ALBANY, OH 430549291

    Phone: (614) 775-6340

    Type: Location

  • 5505, River Forest Road, Dublin, Washington Township, Franklin County, Ohio, 43017, United States

    DUBLIN, OH 430178696

    Phone: (216) 337-4723

    Type: Mailing

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: 2006-03-23

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
I20060323000158ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00142Anesthesia for lens surgery1919$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1515$0
View full utilization report →

Insurance plans in this area (ZIP 43210)

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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: 3375692270View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is CARRIE LYNN MALFATTO (CRNA) listed with a National Provider Identifier?
Yes — CARRIE LYNN MALFATTO (CRNA) has NPI 1174558167 on file in the registry.
Active or inactive — what applies to CARRIE LYNN MALFATTO (CRNA)?
You should see CARRIE LYNN MALFATTO (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is CARRIE LYNN MALFATTO (CRNA)?
CARRIE LYNN MALFATTO (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for CARRIE LYNN MALFATTO (CRNA)?
Travel planning: use Columbus, Ohio as the reference point for CARRIE LYNN MALFATTO (CRNA), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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