Molly Sullivan Bylsma, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

3012205 Issued in KY

Practice address

121 College St.
Smiths Grove, KY 42171

Phone

(270) 563-3000

Fax

(270) 783-3753

NPI assigned

Feb 16, 2015

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Molly Sullivan Kearfott Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mollybylsma@kmgpc.allscriptsdirect.net

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.

• Karle Medical Group, P.C.

  dba Karle Medical Group

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1932298379
  Medicare reassignment NPD

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1164813838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-563-3000",
            "fax_number": "270-783-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COLLEGE ST.",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "42171",
            "telephone_number": "270-563-3000",
            "fax_number": "270-783-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLSMA",
        "first_name": "MOLLY",
        "middle_name": "SULLIVAN",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3012205",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3012205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "KEARFOTT",
            "middle_name": "SULLIVAN",
            "credential": "AGPCNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• April D. Basham, CSW
• Benson & Benson Family Dentistry
• Charles Deon Benson
• Mary H Benson, DMD
• Amy Pendleton Brown, APRN
• Bailey Ann Canchola, LPCA
• Care2U, LLC (Alford's Care2U, LLC)
• Jennifer Marie Cartwright
• Lauren M Casey, APRN
• Megan D Collins, APRN

• Gerontology Nurse Practitioner in Smiths Grove, KY
• Providers in Smiths Grove, KY by specialty
• Gerontology Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.