Individual provider Active NPI

Elizabeth L Malloy, CRNA

  • Certified Registered Nurse Anesthetist
  • Montrose, CO
National Provider Identifier
1649518861
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
92378 Issued in CO
Practice address
800 S 3Rd St
Montrose, CO 81401-4212
Phone
(801) 618-8858
NPI assigned
Jan 23, 2013
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 92378 CO Primary

Addresses

Primary practice location

800 S 3Rd St
Montrose, CO 81401-4212

Mailing address

16146 6740 Rd
Montrose, CO 81401-7435
Phone (801) 618-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721002229 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446497408 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timberline Anesthesia Partners LLCGroup PAC ID 7719361104, 14 clinicians
San Juan Anesthesia PLLCGroup PAC ID 1052320850, 9 clinicians

Practice addresses (Care Compare)

800 S 3Rd St
Montrose, CO 81401-4212
Phone (970) 249-2211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.42 of 100Reported as group
Quality
58.85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
92378COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Anesthesia PLLC CurrentSince Jun 1, 2014 Accepting new patients
Timberline Anesthesia Partners LLC CurrentSince Aug 27, 2022 Accepting new patients
Gunnison Valley Hospital CurrentSince Jan 25, 2026 Accepting new patients
Gunnison Valley Hospital CurrentSince Dec 1, 2025 Accepting new patients
Gunnison Valley Hospital CurrentSince Dec 1, 2025 Accepting new patients
Anesthesia Associates of Boise, P.a. PastSince Jun 17, 1997 Accepting new patients

Locations

1120 Wellington Ave
Ste 206
Grand Junction, CO 81501
Phone (970) 243-7245

112 W Spencer Ave
Gunnison, CO 81230
Phone (800) 734-2877

112 W Spencer Ave
Ste B
Gunnison, CO 81230
Phone (970) 641-4522

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

611 East Star Ct
Ste C
Montrose, CO 81401
Phone (970) 249-6842

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1649518861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16146 6740 RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814017435",
            "telephone_number": "801-618-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014212",
            "telephone_number": "801-618-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "92378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.