Individual provider Active NPI

Molly Patricia Hummel, PA

  • Physician Assistant
  • Farmington, NM
National Provider Identifier
1043693948
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2015-0028 Issued in NM
Practice address
407 S Schwartz Ave
Suite 101
Farmington, NM 87401-5925
Phone
(505) 609-6595
Fax
(505) 609-6579
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2015-0028 NM Primary

Addresses

Primary practice location

407 S Schwartz Ave
Suite 101
Farmington, NM 87401-5925

Mailing address

PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20151016001380 NM Practitioner - Physician Assistant 7315256179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232

445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

465 Saint Michaels Dr
Suite 110
Santa Fe, NM 87505-7670
Phone (505) 982-3534

465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2015-0028NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc CurrentSince Aug 24, 2015 Accepting new patients
St. Vincent Hospital CurrentSince Mar 16, 2017 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Aug 24, 2015 Accepting new patients
St. Vincent Hospital CurrentSince Mar 16, 2017 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
St Vincent Hospital Past Accepting new patients

Locations

3860 Masthead St NE
Albuquerque, NM 87109
Phone (505) 796-9047

407 S Schwartz Ave
Ste 201
Farmington, NM 87401
Phone (505) 609-6300

407 S Schwartz Ave
Ste 101
Farmington, NM 87401
Phone (505) 609-6595

1631 Hospital Dr
Ste 240
Santa Fe, NM 87505
Phone (505) 913-3975

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

465 Saint Michaels Dr
Ste 107
Santa Fe, NM 87505
Phone (505) 988-3233

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

2990 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 428-5400

Interoperability endpoints

  • Direct secure messaging: mhummel164703@christushealth.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 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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1043693948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S SCHWARTZ AVE",
            "address_2": "SUITE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015925",
            "telephone_number": "505-609-6595",
            "fax_number": "505-609-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "MOLLY",
        "middle_name": "PATRICIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2015-0028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.