Active NPI
Molly Anne Nicholas, ARNP
- Nurse Practitioner
- Melrose, FL
National Provider Identifier
1629097555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP3048822
- Practice address
- 5818 Centre St
Melrose, FL 32666-6207 - Phone
- (352) 475-3792
- Fax
- (352) 475-3794
- NPI assigned
- Jul 19, 2006
- Last updated
- Oct 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3048822 | FL | Primary |
Addresses
Primary practice location
5818 Centre St
Melrose, FL 32666-6207
Mailing address
8117 SW 12TH PL
Gainesville, FL 32607-3329
Phone (352) 317-6361
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306300300 | Medicaid | FL | |
| 11711668 | Other | CAQH |
Other names 1
- Molly Nicholas Knisley
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Organizations & group practices 2
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.
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Geriatric Medicine (Family Medicine) Physician
- Gainesville, FL
- NPI 1750835211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1629097555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8117 SW 12TH PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326073329",
"telephone_number": "352-317-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5818 CENTRE ST",
"city": "MELROSE",
"state": "FL",
"postal_code": "326666207",
"telephone_number": "352-475-3792",
"fax_number": "352-475-3794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "MOLLY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3048822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306300300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11711668",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "KNISLEY",
"middle_name": "NICHOLAS",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melrose, FL
- Melrose Medical Group PL
- Melrose Pharmacy, Inc.
- Elizabeth Murphy
- Neale & Associates, Inc.
- Elisa Neale-Tobener, CCC-SLP
- North Florida Cataract Specialists and Vision Care LLC
- North Florida Regional Medical Center, Inc. (HCA Florida Senior Healthcare Center-Melrose, a department of HCA Florida North Florida Hospital)
- Sandra June Northway, ARNP
- Joy Danielle Rhodes, LMHC
- Carol Rich, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.