Mollie Wallace Dean, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-144807 Issued in AL

Practice address

150 S Ingleside St Ste 6
Fairhope, AL 36532-1804

Phone

(251) 990-1740

Fax

(251) 990-1831

NPI assigned

Jun 21, 2018

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairhope Internal Medicine PCGroup PAC ID 6305884651, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Hospital Hospital, Fairhope, AL, CCN 010100
• North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdean80887@directinfirmaryhealth.org

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.

• Fairhope Internal Medicine PC

  • Internal Medicine Physician
  • Fairhope, AL
  • NPI 1295760494
  Medicare reassignment Care Compare group NPD
• Medical Park OBGYN PC

  • Obstetrics & Gynecology Physician
  • Fairhope, AL
  • NPI 1447291190
  NPD
• Sacred Heart Health System, Inc.

  dba Ascension Medical Group Sacred Heart Sub Specialists

  • Neurological Surgery Physician
  • Pensacola, FL
  • NPI 1902857352
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gulf Health Hospitals, Inc

  dba North Baldwin Family Medicine

  • Family Medicine Physician
  • Bay Minette, AL
  • NPI 1154703726

  Hospital

  Care Compare affiliation
• Gulf Health Hospitals, Inc

  dba Thomas Hospital

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  dba North Baldwin Infirmary

  • General Acute Care Hospital
  • Bay Minette, AL
  • NPI 1134164924
  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  dba Premier Women's Health

  • Gynecology Physician
  • Bay Minette, AL
  • NPI 1760717870

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1578057535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 6",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-990-1740",
            "fax_number": "251-990-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 6",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-990-1740",
            "fax_number": "251-990-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 Southland Dr",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366933313",
            "country_code": "US",
            "telephone_number": "251-661-0153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 Roper Ln",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365265274",
            "country_code": "US",
            "telephone_number": "251-378-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "MOLLIE",
        "middle_name": "WALLACE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-144807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Horton Davis III, MD
• Jennifer M Davis, DPT, OCS
• Randall Ray Davis, REGISTERED NURSE
• Robert Arthur Dawson, PA-C
• Loretta M Dean, RN
• Brian David Dearing, MD
• Daniel Carvel Deese, DMD
• Fulton G Defour, MD
• Timothy D Deloach, LPC-S
• Delta Behavioral Health, LLC

• Family Nurse Practitioner in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.