Molly Cezanne Fragale, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

MW010600 Issued in PA

Practice address

425 E 1St St
Bloomsburg, PA 17815-1480

Phone

(570) 387-2474

NPI assigned

Jun 16, 2020

Last updated

Dec 30, 2020By 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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: molly.fragale.1@6640.direct.athenahealth.com

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.

• Dubois Regional Medical Center

  • Obstetrics & Gynecology Physician
  • Du Bois, PA
  • NPI 1558472696
  Medicare reassignment NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Dubois Regional Medical Center

  • Maternal & Fetal Medicine Physician
  • Du Bois, PA
  • NPI 1033213608
  NPD
• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • Pharmacy
  • Ridgway, PA
  • NPI 1366900458
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  dba PrimeMed Medical Grp Clark Summit in collaboration w/ Geisinger Clinic

  • Family Medicine Physician
  • Clarks Summit, PA
  • NPI 1972910354
  NPD
• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  NPD (past)
• Obhg Maryland PC

  • Obstetrics & Gynecology Physician
  • Bel Air, MD
  • NPI 1851657894
  NPD (past)
• Obhg Massachusetts - Direct, P.C.

  • Obstetrics Physician
  • Brockton, MA
  • NPI 1487229035
  NPD (past)

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1255956298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 1ST ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151480",
            "telephone_number": "570-387-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGALE",
        "first_name": "MOLLY",
        "middle_name": "CEZANNE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Foradori
• Deborah L Forsythe, R.N.
• Courtney Caroline Foster, PHD
• Lisa Foster
• Trudy L Frace, LCSW
• Elizabeth Ann Fritz, CRNP
• Penny Fritz
• Amanda Fulmer
• Camry Gabel
• Melanie Anne Gagnon, P.T.

• Advanced Practice Midwife in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Advanced Practice Midwife in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.