ALEXIS WHITTAKER MALCOM (NP) – Nurse Practitioner, NPI 1376830281
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
721 NURSE PRACTITIONER in VT
Provider Addresses for ALEXIS WHITTAKER MALCOM (NP)
130 Fisher Rd
Berlin, VT 056029516
Phone: (802) 371-4100
Type: Location
87 PAINE MOUNTAIN DR
NORTHFIELD, VT 056635791
Phone: (781) 413-4985
Type: Mailing
45 PALMER ST
LOWELL, MA 018521834
Phone: (978) 970-1607
Type: Location
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: 2019-07-16
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190716003610 | I | Nurse Practitioner | VT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 266 | 145 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 103 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 69 | $0 |
Insurance plans in this area (ZIP 05602)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MA | 81002 | Urinalysis, manual test | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VT | |
| - | VT | |
| Orthopedic Surgery | VT | |
| Nurse Practitioner | VT | |
| - | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT | |
| Family Practice, Hospitalist | VT | |
| - | VT |
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