Individual provider Active NPI

Molly Benson Miller

  • Pediatric Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1437709565
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
MILL-Y2U28U Issued in NC
Practice address
101 Manning Dr CB 7236
Chapel Hill, NC 27599-7236
Phone
(919) 966-1178
Fax
(919) 966-7629
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X MILL-Y2U28U NC Primary

Addresses

Primary practice location

101 Manning Dr CB 7236
Chapel Hill, NC 27599-7236

Mailing address

101 Manning Dr CB 7236
Chapel Hill, NC 27599-7236
Phone (919) 966-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200113000752 NC Practitioner - Nurse Practitioner 8527493907 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MILL-Y2U28UNCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Nov 17, 2019 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

101 Manning Dr
#7236
Chapel Hill, NC 27514
Phone (919) 966-1178

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

Interoperability endpoints

  • Direct secure messaging: mmiller17467@direct.unc.nchie.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1437709565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DR CB 7236",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997236",
            "telephone_number": "919-966-1178",
            "fax_number": "919-966-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR CB 7236",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997236",
            "telephone_number": "919-966-1178",
            "fax_number": "919-966-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MOLLY",
        "middle_name": "BENSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "MILL-Y2U28U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.