CAITLIN NICOLE MALCOLM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174180376

CAITLIN NICOLE MALCOLM (CRNA) is a healthcare provider. based in Memphis, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 126096 (TN). The NPI Number for CAITLIN NICOLE MALCOLM (CRNA) is 1174180376

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CAITLIN NICOLE MALCOLM (CRNA)
NPI
1174180376
Phone
(901) 725-5846
Address
6060 PRIMACY PKWY STE 241
Enumeration Date
22 May 2019
Last Update Date
22 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9015167000
Graduation Year
2019 (7 years ago)
PAC ID
2961834320
Group Practice PAC ID
9436047685
Professional Enrollment ID
I20191124000013
Address ID
TN381043415ME1265XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

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Provider Addresses for CAITLIN NICOLE MALCOLM (CRNA)

  • Primacy Parkway, White Station, Memphis, Shelby County, Tennessee, 38119, United States

    MEMPHIS, TN 381195743

    Phone: (901) 725-5846

    Type: Mailing

  • Methodist Central Hospital, 1265, Union Avenue, Annesdale Park, Memphis, Shelby County, Tennessee, 38104, United States

    MEMPHIS, TN 381043415

    Phone: (901) 725-5846

    Type: Location

  • 1265 Union Ave

    Memphis, TN 381043415

    Phone: (901) 725-5846

    Type: Location

  • 1000 JOHNSON FERRY RD

    ATLANTA, GA 303421606

    Phone: (404) 851-8917

    Fax: (404) 303-3636

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($20).

Total Amount

$26

General + Research + Ownership

Payments

3

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2024-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191124000013ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20240112003319ICertified Registered Nurse Anesthetist (Crna)GATBD

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
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back1313$0
00790Anesthesia for other procedure on upper abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 38119)

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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: 9436047685View full group profile
NameSpecialtyState
-TN
Certified Registered Nurse Anesthetist (Crna)TN
-TN
-TN
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)TN
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

What unique ID ties claims to CAITLIN NICOLE MALCOLM (CRNA)?
NPI 1174180376 is assigned to CAITLIN NICOLE MALCOLM (CRNA) under the national enumeration system.
Is CAITLIN NICOLE MALCOLM (CRNA) active in the national directory?
CAITLIN NICOLE MALCOLM (CRNA)'s public NPI profile is in an active state.
Does CAITLIN NICOLE MALCOLM (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for CAITLIN NICOLE MALCOLM (CRNA). Clinical services aligned with this taxonomy classification.
Does CAITLIN NICOLE MALCOLM (CRNA) practice in Tennessee?
You will see Memphis, Tennessee on file for CAITLIN NICOLE MALCOLM (CRNA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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