Individual provider Active NPI

Molly Elizabeth London, DNP, ARNP

  • Nurse Practitioner
  • Pullman, WA
National Provider Identifier
1093843492
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60978502 Issued in WA
Practice address
825 SE Bishop Blvd Ste 130
Pullman, WA 99163-5517
Phone
(509) 332-2828
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 8571555 ID
Nurse Practitioner 363L00000X AP60978502 WA Primary

Addresses

Primary practice location

825 SE Bishop Blvd Ste 130
Pullman, WA 99163-5517

Mailing address

795 SE Bishop Blvd
Attn Credentialing
Pullman, WA 99163-6071
Phone (509) 336-7300

Other practice location 1

1547 NE Cougar Way Rm 320D & 320B
Pullman, WA 99164-0001
Phone (509) 332-2828

Other practice location 2

2500 W A St Ste 201
Moscow, ID 83843-6000
Phone (208) 883-2828

Other names 1

  • Molly Elizabeth Kirkman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190909003648 WA Practitioner - Nurse Practitioner 6709115215 Reassigns benefits to 3 organizations
I20250425000998 ID Practitioner - Nurse Practitioner 6709115215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palouse Specialty Physicians PSGroup PAC ID 0345569166, 11 clinicians

Practice addresses (Care Compare)

2500 W a St
Suite 201
Moscow, ID 83843-6000
Phone (208) 332-2828

803 S Main St
Suite 210
Moscow, ID 83843-2695
Phone (208) 882-1778

825 SE Bishop Blvd
Suite 130
Pullman, WA 99163-5517
Phone (509) 338-0632

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County Multi-Specialty CurrentSince Apr 1, 2026 Accepting new patients
Tri-City Orthopaedic Clinic P S C CurrentSince Mar 15, 2021 Accepting new patients
Palouse Specialty Physicians, P.S. Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Tri-City Orthopaedic Clinic, P S C Multi-Specialty CurrentSince Mar 15, 2021 Accepting new patients
Palouse Specialty Physicians, P.S. Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients

Locations

2500 W A St
Ste 201
Moscow, ID 83843
Phone (208) 332-2828

803 S Main St
Ste 210
Moscow, ID 83843
Phone (208) 882-1778

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

803 S Main St
Ste 110
Moscow, ID 83843
Phone (208) 813-7519

6703 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 460-5588

825 SE Bishop Blvd
Ste 130
Pullman, WA 99163
Phone (509) 338-0632

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

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 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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1093843492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 SE BISHOP BLVD",
            "address_2": "ATTN CREDENTIALING",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991636071",
            "telephone_number": "509-336-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 130",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-332-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1547 NE Cougar Way Rm 320D & 320B",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991640001",
            "country_code": "US",
            "telephone_number": "509-332-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 W A St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838436000",
            "country_code": "US",
            "telephone_number": "208-883-2828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDON",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DNP, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "8571555",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60978502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "KIRKMAN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.