NPIMap

Individual provider Active NPI

Mollee Renee Bundy, PA-C

  • Physician Assistant
  • Henderson, KY
National Provider Identifier
1245755099
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2254 Issued in KY
Practice address
1305 N Elm St
Henderson, KY 42420-2783
Phone
(270) 827-7100
Fax
(270) 827-7446
NPI assigned
Aug 12, 2017
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2254 KY Primary

Addresses

Primary practice location

1305 N Elm St
Henderson, KY 42420-2783

Mailing address

PO Box 638704
Cincinnati, OH 45263-8704
Phone (812) 450-6815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170825002628 KY Practitioner - Physician Assistant 8628340619 Reassigns benefits to 2 organizations
I20260313002544 LA Practitioner - Physician Assistant 8628340619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 International PLZ
Fort Worth, TX 76109-4800

851 Park Plaza Dr
Evansville, IN 47715-4368

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Feb 4, 2026 Accepting new patients
Methodist Health, Inc. Physician Assistant CurrentSince Aug 17, 2017 Accepting new patients
Methodist Health, Inc. CurrentSince Aug 17, 2017 Accepting new patients
Methodist Health, Inc. Physician Assistant CurrentSince Feb 27, 2020 Accepting new patients

Locations

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Organizations & group practices 5

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 7

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": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1245755099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638704",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638704",
            "telephone_number": "812-450-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-827-7100",
            "fax_number": "270-827-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "MOLLEE",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-12",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.