Active NPI
Molly Ann Freeman, FNP-BC
- Family Nurse Practitioner
- Meriden, KS
National Provider Identifier
1295453660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2022008524
- Practice address
- 100 E Main St
Meriden, KS 66512-9578 - Phone
- (785) 484-0100
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2022008524 | MO | Primary |
Addresses
Primary practice location
100 E Main St
Meriden, KS 66512-9578
Mailing address
17701 Talon Dr
Holt, MO 64048-8847
Phone (816) 694-6331
Other names 1
- Molly Ann Minnick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022008524 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1295453660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17701 TALON DR",
"city": "HOLT",
"state": "MO",
"postal_code": "640488847",
"telephone_number": "816-694-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "MERIDEN",
"state": "KS",
"postal_code": "665129578",
"telephone_number": "785-484-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "MOLLY",
"middle_name": "ANN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2022008524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "MINNICK",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Meriden, KS
- Andrea R Beaman, APRN
- April K Boatwright
- Deer Park Senior Group Home Inc.
- Deer Park Senior Group Homes LLC
- Faith Counseling & Wellness Center
- FW Huston Pharmacy of Meriden
- Kayla Renee Gardner, LMSW
- Jefferson West Usd340
- Brianna Shae Jones, DC
- Kelly House Operations LLC (Kelly House of Meriden South)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.