Individual provider Active NPI

Mollie Mason, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1629447586
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17352.NP Issued in OH
Practice address
1500 Lockbourne Rd
Columbus, OH 43206-3736
Phone
(614) 930-1012
NPI assigned
Sep 22, 2015
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.17352.NP OH Primary

Addresses

Primary practice location

1500 Lockbourne Rd
Columbus, OH 43206-3736

Mailing address

PO Box 746071
Atlanta, GA 30374-6071

Other practice location 1

833 Elgin Court
Pickerington, OH 43147
Phone (614) 234-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161128002732 OH Practitioner - Nurse Practitioner 3476832965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Mobile MD Ohio LLCGroup PAC ID 7618372442, 11 clinicians
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

Galloway, OH 43119
Phone (765) 969-7841

1500 Lockbourne Rd
Columbus, OH 43206-3736
Phone (614) 930-1012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17352.NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC CurrentSince Oct 28, 2024 Accepting new patients
Columbus Inpatient Care Inc. CurrentSince Sep 19, 2016 Accepting new patients
My Mobile MD Ohio Psychiatric Services LLC CurrentSince Jul 22, 2025 Accepting new patients
My Mobile MD Ohio LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

1500 Lockbourne Rd
Columbus, OH 43206
Phone (614) 449-9771

2020 Eakin Rd
Ste 100
Columbus, OH 43223
Phone (614) 300-9001

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

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.

Hospital & facility affiliations 6

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": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1629447586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746071",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LOCKBOURNE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432063736",
            "telephone_number": "614-930-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Elgin Court",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "43147",
            "country_code": "US",
            "telephone_number": "614-234-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "MOLLIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17352.NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.