Individual provider Active NPI

Mollyann Phillips, PA-C

  • Physician Assistant
  • Harrison, OH
National Provider Identifier
1295600468
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10450 New Haven Rd
Harrison, OH 45030-2780
Phone
(513) 367-5888
NPI assigned
Oct 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 OH Primary

Addresses

Primary practice location

10450 New Haven Rd
Harrison, OH 45030-2780

Mailing address

10450 New Haven Rd
Harrison, OH 45030-2780
Phone (513) 367-5888

Other identifiers 1

IdentifierTypeStateIssuer
0160608MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20251217004489 OH Practitioner - Physician Assistant 7113412172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christian Community Health ServicesGroup PAC ID 7517966211, 18 clinicians

Practice addresses (Care Compare)

10450 New Haven Rd
Suite 3
Harrison, OH 45030-2761
Phone (513) 367-5888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Community Health Services CurrentSince Oct 11, 2025 Accepting new patients
Christian Community Health Services CurrentSince Oct 11, 2025 Accepting new patients
Christian Community Health Services Past Accepting new patients

Locations

1712 Race St
Cincinnati, OH 45202
Phone (513) 381-2247

5 E Liberty St
Cincinnati, OH 45202
Phone (513) 241-1282

10450 New Haven Rd
Ste 3
Harrison, OH 45030
Phone (513) 367-2222

Interoperability endpoints

  • Direct secure messaging: mollyann.phillips.1@15558.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1295600468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 NEW HAVEN RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302780",
            "telephone_number": "513-367-5888",
            "fax_number": "513-367-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 NEW HAVEN RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302780",
            "telephone_number": "513-367-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MOLLYANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160608",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

Verify at the official NPI Registry.