Active NPI
Molly M. Etue, PA
- Physician Assistant
- Sedro Woolley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10002892A
- Practice address
- 1990 Hospital Dr Ste 110
Sedro Woolley, WA 98284-9315 - Phone
- (360) 856-8830
- Fax
- (360) 714-2520
- NPI assigned
- Dec 4, 2015
- Last updated
- Dec 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5136 | SC | |
| Physician Assistant | 363A00000X | PA61638047 | WA | |
| Physician Assistant | 363A00000X | 10002892A | IN | Primary |
Addresses
Primary practice location
1990 Hospital Dr Ste 110
Sedro Woolley, WA 98284-9315
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Phone (833) 724-8326
Other names 1
- Molly Sabol
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | molly.sabol@lutheranhealthnetwork.cernerdirect.com | ||
| Direct Messaging Address | msabol504299@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1990 Hospital Dr
Sedro Woolley, WA 98284-9315
2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 856-6021
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000
835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 755-0641
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5136 | SC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| Vitalen Inpatient Care PC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
Interoperability endpoints
- metue692392@direct.peacehealth.org
- molly.sabol@lutheranhealthnetwork.cernerdirect.com
- msabol504299@direct.parkviewexchange.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Sedro Woolley, WA
- NPI 1407283179
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Hospitalist Physician
- Greenville, SC
- NPI 1083217616
-
- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1629532064
-
- Hospitalist Physician
- Greenville, SC
- NPI 1699514620
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Bremerton, WA
- NPI 1831366566
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Greenville, SC
- NPI 1699514638
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1184099988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 HOSPITAL DR STE 110",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982849315",
"telephone_number": "360-856-8830",
"fax_number": "360-714-2520"
}
],
"practiceLocations": [
{
"address_1": "11050 Parkview Circle Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451739",
"country_code": "US",
"telephone_number": "833-724-8326",
"fax_number": "260-266-7585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ETUE",
"first_name": "MOLLY",
"middle_name": "M.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5136",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61638047",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10002892A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "molly.sabol@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "7900 W Jefferson Blvd Ste 306",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468044128",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msabol504299@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "SABOL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.
- 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.