Individual provider Active NPI

Molly Kathryn Elgin, ARNP

  • Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1033858451
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A169514 Issued in IA
Practice address
5880 University Ave Ste 103
West Des Moines, IA 50266-8209
Phone
(515) 633-3660
Fax
(515) 362-4114
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 F06220129 IA
Nurse Practitioner 363L00000X A169514 IA Primary

Addresses

Primary practice location

5880 University Ave Ste 103
West Des Moines, IA 50266-8209

Mailing address

PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20221027002602 IA Practitioner - Nurse Practitioner 4486021821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives-Iowa CorpGroup PAC ID 5698683142, 111 clinicians

Practice addresses (Care Compare)

5880 University Ave
Suite 103
West Des Moines, IA 50266-8209
Phone (515) 633-3600

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06220129IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Memorial Hospital Current Accepting new patients
Catholic Health Initiatives-Iowa Corp Nurse Practitioner CurrentSince Mar 4, 2024 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Mar 4, 2024 Accepting new patients
Iowa Heart Center PC Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

5880 University Ave
Ste 103
West Des Moines, IA 50266
Phone (515) 633-3600

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • Direct secure messaging: melgin3926466@direct.trinity-health.org
  • Direct secure messaging: molly.elgin.p1@direct.iowaheart.nextgenshare.com

Organizations & group practices 4

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 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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1033858451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503069170",
            "telephone_number": "515-633-3600",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE STE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668209",
            "telephone_number": "515-633-3660",
            "fax_number": "515-362-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGIN",
        "first_name": "MOLLY",
        "middle_name": "KATHRYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "F06220129",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A169514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.