Individual provider Active NPI

Petrica T Molnar

  • Acute Care Nurse Practitioner
  • Fenton, MI
National Provider Identifier
1265014641
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704296874 Issued in MI
Practice address
102 N Adelaide St Ste C
Fenton, MI 48430-2670
Phone
(810) 262-7030
Fax
(810) 208-0363
NPI assigned
Apr 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704296874 MI
Gerontology Nurse Practitioner 363LG0600X 4704296874 MI
Acute Care Clinical Nurse Specialist 364SA2100X 4704296874 MI
Gerontology Clinical Nurse Specialist 364SG0600X 4704296874 MI
Acute Care Nurse Practitioner 363LA2100X 4704296874 MI Primary

Addresses

Primary practice location

102 N Adelaide St Ste C
Fenton, MI 48430-2670

Mailing address

1 Hurley PLZ
Attn Professional Billing Dept
Flint, MI 48503-5902
Phone (810) 262-9002

Other practice location 1

1 Hurley Plz # 7W
Flint, MI 48503-5902
Phone (810) 262-9355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmolnar107015@direct.hurleymc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210629003823 MI Practitioner - Nurse Practitioner 4789085689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, shared by 10 NPIs, 336 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley Plaza
Attn Professional Billing Dept
Flint, MI 48503-5902

1 Hurley Plaza Attn Pro Billing Dept
Flint, MI 48503-5902

1 Hurley Plaza Ground N Clinic
Hurley Nurse Practitioner Group
Flint, MI 48503-5902
Phone (810) 262-9191

1 Hurley PLZ
Flint, MI 48503-5902

Hospital & facility affiliations

  • Hurley Medical Center Hospital, Flint, MI, CCN 230132

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Service Corporation CurrentSince Dec 1, 2024 Accepting new patients
Iha Health Services Corporation CurrentSince Dec 1, 2024 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Hurley Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Hurley Medical Center Past Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

102 N Adelaide St
Ste C
Fenton, MI 48430
Phone (810) 262-7030

1 Hurley Plz
#9
Flint, MI 48503

1125 S Linden Rd
Ste 100
Flint, MI 48532
Phone (810) 262-6555

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Hurley Plz
#7W
Flint, MI 48503
Phone (810) 262-9355

1 Hurley Plz
Ste 7W
Flint, MI 48503

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

Interoperability endpoints

  • Direct secure messaging: pmolnar107015@direct.hurleymc.com
  • Direct secure messaging: pmolnar22392@direct.trinity-health.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1265014641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "ATTN PROFESSIONAL BILLING DEPT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9002",
            "fax_number": "810-262-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N ADELAIDE ST STE C",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302670",
            "telephone_number": "810-262-7030",
            "fax_number": "810-208-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hurley Plz # 7W",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485035902",
            "country_code": "US",
            "telephone_number": "810-262-9355",
            "fax_number": "810-262-6341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLNAR",
        "first_name": "PETRICA",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-25",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704296874",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704296874",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "MI",
            "license": "4704296874",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MI",
            "license": "4704296874",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704296874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmolnar107015@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1 Hurley Plz # 7W",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485035902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.