Individual provider Active NPI

Mollie O'Brien, ARNP

  • Family Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1255958427
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06201595 Issued in IA
Practice address
1300 Woodland Ave
West Des Moines, IA 50265-2306
Phone
(515) 280-3860
NPI assigned
Jul 2, 2020
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 F06201595 IA Primary

Addresses

Primary practice location

1300 Woodland Ave
West Des Moines, IA 50265-2306

Mailing address

1300 Woodland Ave
West Des Moines, IA 50265-2306
Phone (515) 280-3860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20200824002069 IA Practitioner - Nurse Practitioner 9830516749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Community Services IncGroup PAC ID 1254599731, 13 clinicians

Practice addresses (Care Compare)

813 N Lincoln St
Suite 15
Knoxville, IA 50138-1421
Phone (641) 842-2717

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06201595IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Hospital Current Accepting new patients
United Community Services, Inc. CurrentSince Jul 17, 2020 Accepting new patients
Boone County Hospital Current Accepting new patients
Boone County Hospital CurrentSince Feb 1, 2023 Accepting new patients
Boone County Hospital CurrentSince Feb 1, 2023 Accepting new patients
Boone County Family Medicine TR Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Northeast Iowa Mental Health Center PastSince Nov 21, 2008 Accepting new patients

Locations

1619 S High Ave
Ames, IA 50010
Phone (515) 232-3206

1555 SE Delaware Ave
Ste M
Ankeny, IA 50021
Phone (515) 280-4903

2307 Olive St
Atlantic, IA 50022
Phone (712) 243-2606

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

120 S Story St
Boone, IA 50036
Phone (515) 432-3460

120 S Story St
Ste 1
Boone, IA 50036

1340 Mount Pleasant St
Burlington, IA 52601
Phone (319) 753-6567

23751 Highway 30
Carroll, IA 51401
Phone (712) 792-9266

3601 16th Ave SW
Cedar Rapids, IA 52404
Phone (319) 390-4381

250 20th Ave N
Ste 250
Clinton, IA 52732
Phone (563) 243-2124

905 Montgomery St
Decorah, IA 52101
Phone (563) 382-3649

4908 Franklin Ave
Des Moines, IA 50310
Phone (515) 280-4930

211 Avenue M W
Fort Dodge, IA 50501
Phone (515) 576-7261

813 N Lincoln St
Ste 15
Knoxville, IA 50138
Phone (641) 842-2717

813 N Lincoln St
Ste 9
Knoxville, IA 50138
Phone (515) 309-1917

310 W Main St
Ottumwa, IA 52501
Phone (641) 683-6747

3362 University Ave
Waterloo, IA 50701
Phone (319) 235-6571

1300 Woodland Ave
West Des Moines, IA 50265

Organizations & group practices 8

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1255958427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WOODLAND AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652306",
            "telephone_number": "515-280-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WOODLAND AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652306",
            "telephone_number": "515-280-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MOLLIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "F06201595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.