Individual provider Active NPI

Molly Anderson, FNP-C

  • Family Nurse Practitioner
  • Chatham, IL
National Provider Identifier
1326745241
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209031473 Issued in IL
Practice address
101 E Plummer Blvd
Chatham, IL 62629-8047
Phone
(217) 483-3487
Fax
(217) 483-8150
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 209031473 IL Primary

Addresses

Primary practice location

101 E Plummer Blvd
Chatham, IL 62629-8047

Mailing address

101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 483-3487

Other identifiers 1

IdentifierTypeStateIssuer
041.580100OtherILIL RN LICENSE

Other names 1

  • Molly Magovern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230330001174 DC Practitioner - Nurse Practitioner 0042684227 Reassigns benefits to 1 organization
I20240510000254 VA Practitioner - Nurse Practitioner 0042684227 Reassigns benefits to 1 organization
I20250529003931 IL Practitioner - Nurse Practitioner 0042684227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Practice addresses (Care Compare)

101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 588-2600

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209031473ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Current Accepting new patients
Memorial Physician Services Current Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 6, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 6, 2023 Accepting new patients
Memorial Physician Services CurrentSince Jun 1, 2025 Accepting new patients
Memorial Physician Services CurrentSince Jun 1, 2025 Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

4660 Kenmore Ave
Ste 1210
Alexandria, VA 22304
Phone (703) 461-0700

4660 Kenmore Ave
Ste 900
Alexandria, VA 22304
Phone (703) 212-0700

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

4820 31st St S
Ste B
Arlington, VA 22206
Phone (703) 865-6542

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: mollymagovern@memorial.allscriptsdirect.net

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1326745241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E PLUMMER BLVD",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298047",
            "telephone_number": "217-483-3487",
            "fax_number": "217-483-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PLUMMER BLVD",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298047",
            "telephone_number": "217-483-3487",
            "fax_number": "217-483-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MOLLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL RN LICENSE",
            "identifier": "041.580100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MAGOVERN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chatham, IL

Sources for this page

Verify at the official NPI Registry.