Individual provider Active NPI

Nolan S Malthesen, MD

  • Orthopaedic Surgery Physician
  • Waco, TX
National Provider Identifier
1285823526
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N8120 Issued in TX
Practice address
7125 New Sanger Avenue
Suite 516
Waco, TX 76712
Phone
(254) 752-9368
Fax
(256) 752-2201
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X N8120 TX
Orthopaedic Surgery Physician 207X00000X N8120 TX Primary

Addresses

Primary practice location

7125 New Sanger Avenue
Suite 516
Waco, TX 76712

Mailing address

6311 Southwest Blvd
Benbrook, TX 76132-1063
Phone (817) 731-9400

Other identifiers 1

IdentifierTypeStateIssuer
8V9723OtherTXBCBSTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000281 TX Practitioner - Orthopedic Surgery 4284899501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

5400 Laurel Lake Dr
Waco, TX 76710-2835
Phone (254) 399-6633

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

Hospital & facility affiliations

  • Ascension at Home Home health agency, Waco, TX, CCN 457377
  • Ascension Providence Hospital, Waco, TX, CCN 450042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement40
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Aug 27, 2018 Accepting new patients
Providence Health Alliance CurrentSince Aug 27, 2018 Accepting new patients
Joseph Daniels, DO Orthopaedic Surgery Past Accepting new patients

Locations

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

7125 Sanger Rd
Ste 516
Woodway, TX 76712
Phone (254) 752-9368

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20617/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nolan.malthesen.1@9635.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1285823526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761321063",
            "telephone_number": "817-731-9400",
            "fax_number": "817-731-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 NEW SANGER AVENUE",
            "address_2": "SUITE 516",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-752-9368",
            "fax_number": "256-752-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTHESEN",
        "first_name": "NOLAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "N8120",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N8120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8V9723",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.