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Kimberly Ambrosia Malfabon, FNP-C

NPI 1689563595ActiveIndividual· Nurse Practitioner, Family· Grants Pass, OR

Nurse Practitioner, Family (FNP-C) with Asante and 1 other group, practicing in Grants Pass, Oregon. Enrolled in Medicare as practitioner - nurse practitioner. Lists Asante Rogue Regional Medical Center and 1 other hospital as hospital affiliations.

Overview

NPI1689563595
StatusActive
Entity typeIndividual
CredentialFNP-C
Sole proprietorNo
NPI issuedJul 3, 2025
Last updated in NPPESJul 9, 2025
Certified by providerJul 9, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X10036681OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (OR)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyNurse Practitioner

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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