Individual provider Active NPI

Alexandria Molaro

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1184213829
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012928A Issued in IN
Practice address
1805 Calumet Ave
Valparaiso, IN 46383-3130
Phone
(866) 389-2727
NPI assigned
Jan 17, 2021
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71012928A IN
Family Nurse Practitioner 363LF0000X 71012928A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1805 Calumet Ave
Valparaiso, IN 46383-3130

Mailing address

1805 Calumet Ave
Valparaiso, IN 46383-3130
Phone (219) 252-3922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20221109001701 IN Practitioner - Nurse Practitioner 0840667515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perry Medical Group of Florida PAGroup PAC ID 8729481197, 15 clinicians

Practice addresses (Care Compare)

2705 Westwind Dr
Valparaiso, IN 46385-7215
Phone (978) 850-3914

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upstream Health & Wellness, LLC Family CurrentSince Jul 19, 2024 Accepting new patients
Perry Medical Group of Florida PA CurrentSince Mar 1, 2025 Accepting new patients

Locations

3207 Willowcreek Rd
Portage, IN 46368
Phone (219) 763-3636

3207 Willowcreek Rd
Ste A
Portage, IN 46368
Phone (219) 763-3636

150 W 22nd St
Fl 8
New York, NY 10011
Phone (336) 421-4731

Interoperability endpoints

  • Direct secure messaging: upstreamhealthandwellness.alexandria.molaro@141502.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1184213829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833130",
            "telephone_number": "219-252-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833130",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLARO",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012928A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012928A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.