NPIMap

Individual provider Active NPI

Molly Jean Crossman, WHNP-BC

  • Women's Health Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1003051418
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5004250 Issued in NC
Practice address
1140 Carthage St
Sanford, NC 27330-4161
Phone
(919) 775-2304
Fax
(919) 775-4050
NPI assigned
Dec 15, 2008
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 5004250 NC Primary

Addresses

Primary practice location

1140 Carthage St
Sanford, NC 27330-4161

Mailing address

1140 Carthage St
Sanford, NC 27330-4161
Phone (919) 775-2304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101211000107 NC Practitioner - Nurse Practitioner 6800083221 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-12 LLCGroup PAC ID 7416198890, 32 clinicians

Practice addresses (Care Compare)

145 Applecross Rd
Pinehurst, NC 28374-8521
Phone (910) 692-7928

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5004250NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-12, LLC CurrentSince May 20, 2024 Accepting new patients
DLP Central Carolina Medical Group LLC Current Accepting new patients
MCPC-12, LLC CurrentSince May 20, 2024 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Dec 17, 2019 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Dec 17, 2019 Accepting new patients
Pinehurst Surgical Clinic PA CurrentSince Sep 21, 2020 Accepting new patients
FHPG, LLC Past Accepting new patients
Grace Womens Clinic PA PastSince Feb 27, 2016 Accepting new patients

Locations

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

1140 Carthage St
Sanford, NC 27330
Phone (919) 775-2304

1140 Carthage St
Ste A
Sanford, NC 27330
Phone (919) 775-2304

Interoperability endpoints

  • Direct secure messaging: mcrossman120481@firsthealth.direct-ci.net

Organizations & group practices 8

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 4

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": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1003051418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304161",
            "telephone_number": "919-775-2304",
            "fax_number": "919-775-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304161",
            "telephone_number": "919-775-2304",
            "fax_number": "919-775-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSMAN",
        "first_name": "MOLLY",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5004250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.