Individual provider Active NPI

Molly Zoe Rivest, DNP, FNP

  • Family Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1043692205
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2281796 Issued in MA
Practice address
75 S Church St
Pittsfield, MA 01201-6157
Phone
(413) 298-2420
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2281796 MA Primary

Addresses

Primary practice location

75 S Church St
Pittsfield, MA 01201-6157

Mailing address

P.O. Box 30
Great Barrington, MA 01230
Phone (413) 528-9311

Other identifiers 1

IdentifierTypeStateIssuer
110104269AMedicaidMA

Other names 1

  • Molly Zoe Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150928000211 MA Practitioner - Nurse Practitioner 4082922935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

75 S Church St
Suite 362
Pittsfield, MA 01201-6157
Phone (413) 319-4400

Hospital & facility affiliations

  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2281796MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. CurrentSince May 1, 2017 Accepting new patients
Spectrum Health Systems, Inc CurrentSince Dec 25, 2023 Accepting new patients
Bodywise Health Collaborative PLLC Family CurrentSince Aug 24, 2024 Accepting new patients
Community Health Programs, Inc. CurrentSince May 1, 2017 Accepting new patients
Spectrum Health Systems Inc CurrentSince Dec 25, 2023 Accepting new patients

Locations

290 Park St
Great Barrington, MA 01230
Phone (413) 347-4647

780 S Main St
Gt Barrington, MA 01230
Phone (413) 528-1470

75 S Church St
Ste 362
Pittsfield, MA 01201
Phone (413) 298-2420

75 S Church St
Pittsfield, MA 01201
Phone (413) 447-2862

390 Merrill Rd
Pittsfield, MA 01201
Phone (413) 442-0402

149 Oak St
Westborough, MA 01581

585 Lincoln St
Worcester, MA 01605
Phone (508) 831-0045

Interoperability endpoints

  • Direct secure messaging: molly.rivest.1@33351.direct.athenahealth.com

Organizations & group practices 5

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 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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1043692205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-9311",
            "fax_number": "413-644-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S CHURCH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016157",
            "telephone_number": "413-298-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVEST",
        "first_name": "MOLLY",
        "middle_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2281796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110104269A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MILLER",
            "middle_name": "ZOE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.