Individual provider Active NPI

Alexis Whittaker Malcom, NP

  • Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1376830281
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
101-0134327 Issued in VT
Practice address
45 Palmer St
Lowell, MA 01852-1834
Phone
(978) 970-1607
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2262711 MA
Nurse Practitioner 363L00000X 101-0134327 VT Primary

Addresses

Primary practice location

45 Palmer St
Lowell, MA 01852-1834

Mailing address

87 Paine Mountain Dr
Northfield, VT 05663-5791
Phone (781) 413-4985

Other practice location 1

130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 371-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716003610 VT Practitioner - Nurse Practitioner 1557533361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Vermont Medical Center IncGroup PAC ID 9335138817, shared by 4 NPIs, 233 clinicians

Practice addresses (Care Compare)

130 Fisher Rd
Barre, VT 05641-9004
Phone (802) 371-4235

130 Fisher Rd
Mob a
Berlin, VT 05602-9516
Phone (802) 225-5660

Hospital & facility affiliations

  • Central Vermont Home Health & Hospice Home health agency, Barre, VT, CCN 477003
  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Jul 1, 2019 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Jul 1, 2019 Accepting new patients
Chiropractic Healing Center PC Past Accepting new patients

Locations

130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235

77 Vine St
Barre, VT 05641
Phone (802) 225-1266

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

87 Paine Mountain Dr
Northfield, VT 05663
Phone (802) 485-4161

Interoperability endpoints

  • Direct secure messaging: amalcom287224@direct.uvmhealth.org

Organizations & group practices 3

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 7

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1376830281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 PAINE MOUNTAIN DR",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635791",
            "telephone_number": "781-413-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PALMER ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521834",
            "telephone_number": "978-970-1607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Fisher Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029516",
            "country_code": "US",
            "telephone_number": "802-371-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "ALEXIS",
        "middle_name": "WHITTAKER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2262711",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0134327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.