Individual provider Active NPI

Carolyn Francesca Mollo, ARNP

  • Critical Care Medicine Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1487902771
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
ARNP9310411 Issued in FL
Practice address
1210 S. Old Dixie Hwy Jupiter Medical Center
Jupiter, FL 33458
Phone
(772) 223-4978
Fax
(772) 223-2847
NPI assigned
Aug 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X ARNP9310411 FL Primary

Addresses

Primary practice location

1210 S. Old Dixie Hwy Jupiter Medical Center
Jupiter, FL 33458

Mailing address

1176 Dakota Drive
Jupiter, FL 33458
Phone (772) 781-2799

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-7999

Other names 1

  • Carolyn O'Malley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address comalley58436@direct.martinhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120924000767 FL Practitioner - Nurse Practitioner 1254589815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians

Practice addresses (Care Compare)

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-2234

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Telehealth, LLC CurrentSince Mar 1, 2022 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jun 1, 2020 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Sheridan Healthcorp Inc CurrentSince Jun 1, 2020 Accepting new patients
KND Development 59 LLC CurrentSince Jul 13, 2024 Accepting new patients
KND Development 59, LLC CurrentSince Jul 13, 2024 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

5555 W Blue Heron Blvd
Riviera Beach, FL 33418
Phone (561) 659-1000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Interoperability endpoints

  • Direct secure messaging: cmollo20544@jupitermedicalcenter.direct-ci.com

Organizations & group practices 7

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": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1487902771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 DAKOTA DRIVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "772-781-2799",
            "fax_number": "772-781-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S. OLD DIXIE HWY JUPITER MEDICAL CENTER",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "772-223-4978",
            "fax_number": "772-223-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLO",
        "first_name": "CAROLYN",
        "middle_name": "FRANCESCA",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-17",
        "last_updated": "2023-10-04",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "ARNP9310411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "comalley58436@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "3801 S Kanner Hwy Ste 200",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349944801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "O'MALLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.