NPI age
12 years
Enumerated 2014-07-11
● Active
Type 1 · Individual
Stacey Glass Malstrom, NP-C
Malstrom is 1 of 120 nurse practitioner providers in Marietta and 1 of 3,302 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-16
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3302 active nurse practitioner providers in Georgia.
NPI age
12 years
↑ 4 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2014 → 2020
2014-07Enumerated in NPPES
2014
2020
Where they practice
Practice location
55 Whitcher St Ne Ste 350
Marietta, GA 300601129
Mailing address
55 Whitcher St Ne Ste 350
Marietta, GA 300601129
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Medicare directory context
Medicare specialties
Nurse Practitioner
Largest Medicare group
3059 members
Largest listed enrollment group
Facility affiliations reported by CMS
- Wellstar Medical Group Llc
Practice context
Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Marietta in the last 180 days.
See all →
Provyx · Custom healthcare lists
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.