Kirsten Elizabeth Van Mol, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09428 Issued in LA

Practice address

5419 Jackson St Ste B
Alexandria, LA 71303-2322

Phone

(318) 787-2708

Fax

(318) 787-2716

NPI assigned

Sep 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kirsten Elizabeth Mudd Former name

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Infusion LLCGroup PAC ID 9931532116, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Specialty Infusion LLC

  • Infusion Therapy Clinic/Center
  • Allen, TX
  • NPI 1750933230

  LA

  Medicare reassignment Care Compare group NPD
• DM Properties of Lafayette, LLC

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1659613537

  LA

  Medicare reassignment NPD
• DM Properties of Lafayette, LLC

  • Urgent Care Clinic/Center
  • Jena, LA
  • NPI 1730722471
  NPD
• Calcasieu Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1124546478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 JACKSON ST STE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032322",
            "telephone_number": "318-787-2708",
            "fax_number": "318-787-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 JACKSON ST STE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032322",
            "telephone_number": "318-787-2708",
            "fax_number": "318-787-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MOL",
        "first_name": "KIRSTEN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "MUDD",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valient Emergency Physicians, LLC
• Adrianne Vallee
• Von David Vallery, LCSW
• Van Buren Community Home
• Alaina Christine Van Mol, N. P.
• Lisa Van Mol, N.P.
• Johanna Lee Vanderhoeven, CRNA
• Paige F Vanderlick, LCSW
• Jennifer Whitney Vanderpool, LPN
• Candy Ann Vandevelde, LPC-S

• All providers in Alexandria, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.