Individual provider Active NPI

Aubrey Molder

  • Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1144696089
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23716 Issued in TN
Practice address
1453 Hope Way
Murfreesboro, TN 37129-3140
Phone
(615) 893-9390
Fax
(615) 893-9390
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000205379 TN
Nurse Practitioner 363L00000X 23716 TN Primary

Addresses

Primary practice location

1453 Hope Way
Murfreesboro, TN 37129-3140

Mailing address

1453 Hope Way
Murfreesboro, TN 37129-3140
Phone (615) 893-9390

Other practice location 1

100 W Burton St
Murfreesboro, TN 37130-3657
Phone (615) 898-7880

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726000466 TN Practitioner - Nurse Practitioner 1254688906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutherford County Primary Care 28 clinicians

Practice addresses (Care Compare)

1453 Hope Way
Murfreesboro, TN 37129-3140
Phone (615) 893-9390

Hospital & facility affiliations

  • Vanderbilt Bedford Hospital Hospital, Shelbyville, TN, CCN 440137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000205379TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rutherford County Primary Care CurrentSince Jan 30, 2018 Accepting new patients
Frank L Jayakody MD PC Past Accepting new patients

Locations

745 S Church St
Ste 601
Murfreesboro, TN 37130
Phone (615) 767-9954

1453 Hope Way
Murfreesboro, TN 37129
Phone (615) 893-9390

1701 N Main St
Ste C
Shelbyville, TN 37160
Phone (931) 685-9000

1701 N Main St
Shelbyville, TN 37160
Phone (931) 684-1990

Interoperability endpoints

  • Direct secure messaging: aubrey.molder@pchc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1144696089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 HOPE WAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293140",
            "telephone_number": "615-893-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 HOPE WAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293140",
            "telephone_number": "615-893-9390",
            "fax_number": "615-893-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Burton St",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371303657",
            "country_code": "US",
            "telephone_number": "615-898-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLDER",
        "first_name": "AUBREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000205379",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "23716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.