ALYSSA MALTBY (APRN) – Nurse Practitioner, NPI 1023536414

ALYSSA MALTBY (APRN) is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. AP135039 (TX). The NPI Number for ALYSSA MALTBY (APRN) is 1023536414

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA MALTBY (APRN)
NPI
1023536414
Phone
(512) 451-5800
Address
300 E Highland Mall Blvd Ste 1A
Enumeration Date
6 September 2017
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2815288111
Graduation Year
2017 (9 years ago)
PAC ID
7315207941
Group Practice PAC ID
5193613149
Professional Enrollment ID
I20180130002794
Address ID
TX770065861HO4407XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ALYSSA MALTBY (APRN)

  • 300 E Highland Mall Blvd Ste 1A

    Austin, TX 787523746

    Phone: (512) 451-5800

    Type: Location

  • 4625 Center St

    Deer Park, TX 775366352

    Phone: (281) 542-6856

    Type: Location

  • 91 RAINEY ST APT 345

    AUSTIN, TX 787010050

    Phone:

    Type: Mailing

  • East Highland Mall Boulevard, Highland, Austin, Travis County, Texas, 78752, United States

    AUSTIN, TX 787523746

    Phone: (512) 451-5800

    Type: Location

  • 9904 HIDDEN SHADYBROOK DR

    HOUSTON, TX 770802210

    Phone:

    Type: Mailing

  • 4407 YOAKUM BLVD

    HOUSTON, TX 770065861

    Phone: (713) 791-2648

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $5,570.

Total Amount is formed as General ($5,570) + Research ($0) + Ownership ($0) = $5,570.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($5,113).

Total Amount

$5,570

General + Research + Ownership

Payments

21

Total payment records

General Amount

$5,570

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

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: 2018-01-30

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
I20180130002794INurse PractitionerTXTBD

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 78752)

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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: 5193613149View full group profile
NameSpecialtyState
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
-TX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Internal Medicine, NephrologyTX
Internal MedicineTX
N E P H R O L O G YTX

Reviews

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Frequently asked questions

What number should I use to identify ALYSSA MALTBY (APRN) for billing?
Administrative and clinical systems typically use NPI 1023536414 for ALYSSA MALTBY (APRN).
Is ALYSSA MALTBY (APRN)'s NPI status active today?
Active status means ALYSSA MALTBY (APRN)'s NPI record is not deactivated in the public file.
How should patients interpret ALYSSA MALTBY (APRN)'s specialty?
The extract shows Nurse Practitioner for ALYSSA MALTBY (APRN). Clinical services aligned with this taxonomy classification.
Which community is linked to ALYSSA MALTBY (APRN)?
ALYSSA MALTBY (APRN) shows a connection to Austin, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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