Molly Kathleen Kroeger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

450 Professional Park Dr
Goodlettsville, TN 37072-2180

Phone

(615) 859-1440

NPI assigned

Jan 12, 2024

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Hollow Family Practice

  • Family Medicine Physician
  • Goodlettsville, TN
  • NPI 1093928707
  NPD

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1134990591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PROFESSIONAL PARK DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PROFESSIONAL PARK DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722180",
            "telephone_number": "615-859-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEGER",
        "first_name": "MOLLY",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Centre King III, M.D.
• Megan Knotts, DPT
• Steven P Koester, D.C.
• Walter F Koscienski, D.O.
• Kristen Starr Kosinski, NP
• Kroger Limited Partnership I (Kroger Pharmacy)
• Jeff Lancaster
• Michael Lancaster
• Rudolph Dean Lang Jr., DDS
• Marc Antonio Lange, P.T.

• Physician Assistant in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.