Individual provider Active NPI

Virginia Jean Mol, FNP-C

  • Family Nurse Practitioner
  • Brigham City, UT
National Provider Identifier
1194794107
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
98-362692-4405 Issued in UT
Practice address
1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293
Phone
(435) 723-5248
Fax
(435) 723-5240
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 98-362692-4405 UT Primary

Addresses

Primary practice location

1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293

Mailing address

1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293
Phone (435) 723-5248

Other identifiers 1

IdentifierTypeStateIssuer
D5598MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20210618000689 UT Practitioner - Nurse Practitioner 9234556291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Marymount University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Arts Center Clinic of Brigham City IncGroup PAC ID 9931000460, 10 clinicians

Practice addresses (Care Compare)

1041 S Medical Dr
Suite 200
Brigham City, UT 84302-3293
Phone (435) 723-5248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98-362692-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Center Clinic of Brigham City Inc Family Medicine CurrentSince Feb 26, 2021 Accepting new patients

Locations

984 Medical Dr
Ste 1
Brigham City, UT 84302
Phone (435) 723-5248

1041 S Medical Dr
Ste 200
Brigham City, UT 84302
Phone (435) 723-5248

2540 Washington Blvd
Ste 122
Ogden, UT 84401
Phone (801) 626-3670

Interoperability endpoints

  • Direct secure messaging: virginia.mol.1@24655.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1194794107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 S MEDICAL DR STE 200",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023293",
            "telephone_number": "435-723-5248",
            "fax_number": "435-723-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 S MEDICAL DR STE 200",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023293",
            "telephone_number": "435-723-5248",
            "fax_number": "435-723-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOL",
        "first_name": "VIRGINIA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "98-362692-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D5598",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.