Individual provider Active NPI

Angela Renae Mollenhoff, MS

  • Audiologist-Hearing Aid Fitter
  • Waverly, IA
National Provider Identifier
1487613709
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
741 Issued in IA
Practice address
312 9TH St SW
Waverly, IA 50677-2929
Phone
(319) 352-4120
Fax
(319) 235-5360
NPI assigned
Mar 23, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 424 IA
Audiologist-Hearing Aid Fitter 237600000X 741 IA Primary
Hearing Instrument Specialist 237700000X IA

Addresses

Primary practice location

312 9TH St SW
Waverly, IA 50677-2929

Mailing address

8800 SE Sunnyside Rd
Suite 300-N
Clackamas, OR 97015-5738
Phone (281) 286-2999

Other practice location 1

516 Division St
Suite 135
Cedar Falls, IA 50613-2382
Phone (319) 238-3118

Other practice location 2

2710 Saint Francis Dr Ste 411
Waterloo, IA 50702-5634
Phone (319) 272-5081

Other practice location 3

516 Division St
Suite 135
Cedar Falls, IA 50613-2382
Phone (319) 238-3118

Other identifiers 7

IdentifierTypeStateIssuer
IB1799005OtherIAMEDICARE
IB1795005OtherIAMEDICARE
IB1797005OtherIAMEDICARE
IB1798005OtherIAMEDICARE
IB1796005OtherIAMEDICARE
1148023MedicaidIA
IB1704005OtherIAMEDICARE

Other names 1

  • Angela Renae Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060620000329 IA Practitioner - Qualified Audiologist 6406868181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfe Clinic IncGroup PAC ID 8628979291, 37 clinicians

Practice addresses (Care Compare)

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

8 E Spring St
Wolfe Eye Clinic
New Hampton, IA 50659-2132
Phone (641) 394-2326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00424IAMDMental Health Counselor
424IAMDAudiologist
741IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riley F Uglum, OD PC Past Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearing Unlimited LLC Hearing Instrument Specialist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amollenhoff@wolfe.intellechartdirect.net

Organizations & group practices 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487613709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD",
            "address_2": "SUITE 300-N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155738",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772929",
            "telephone_number": "319-352-4120",
            "fax_number": "319-235-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Division St",
            "address_2": "Suite 135",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506132382",
            "country_code": "US",
            "telephone_number": "319-238-3118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Saint Francis Dr Ste 411",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025634",
            "country_code": "US",
            "telephone_number": "319-272-5081",
            "fax_number": "319-235-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 Division St",
            "address_2": "Suite 135",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506132382",
            "country_code": "US",
            "telephone_number": "319-238-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLENHOFF",
        "first_name": "ANGELA",
        "middle_name": "RENAE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "424",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "741",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1799005",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1795005",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1797005",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1798005",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1796005",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148023",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IB1704005",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "JOHNSON",
            "middle_name": "RENAE",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.