Individual provider Active NPI

Molly Page Lashley, FNP-BC

  • Family Nurse Practitioner
  • Edwardsville, IL
National Provider Identifier
1417504358
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019032537 Issued in MO
Practice address
329 High Point Dr
Edwardsville, IL 62025-5227
Phone
(618) 977-6797
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 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 2019032537 MO Primary

Addresses

Primary practice location

329 High Point Dr
Edwardsville, IL 62025-5227

Mailing address

329 High Point Dr
Edwardsville, IL 62025-5227

Other practice location 1

6 Jungermann Cir Ste 215
Saint Peters, MO 63376-1626
Phone (636) 928-0123

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address molly.lashley@davita.com
Direct Messaging Address molly.lashley@davita.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20200508000754 MO Practitioner - Nurse Practitioner 0840621710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Primary Mo, LLCGroup PAC ID 2062997638, 4 clinicians
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63141
Phone (720) 923-1250

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019032537MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Aug 28, 2024 Accepting new patients
Total Access Urgent Care, PC Family Medicine CurrentSince Aug 28, 2024 Accepting new patients

Locations

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1417504358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 HIGH POINT DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 HIGH POINT DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255227",
            "telephone_number": "618-977-6797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Jungermann Cir Ste 215",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761626",
            "country_code": "US",
            "telephone_number": "636-928-0123",
            "fax_number": "636-928-0129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASHLEY",
        "first_name": "MOLLY",
        "middle_name": "PAGE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019032537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molly.lashley@davita.com",
            "affiliation": "N",
            "address_1": "329 High Point Dr",
            "city": "Edwardsville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620255227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molly.lashley@davita.com",
            "affiliation": "N",
            "address_1": "329 High Point Dr",
            "city": "Edwardsville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620255227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

Verify at the official NPI Registry.