Individual provider Active NPI

Adam Michael Mollsen, PA-C

  • Physician Assistant
  • Elgin, IL
National Provider Identifier
1639140338
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-001997 Issued in IL
Practice address
1550 N Randall Rd
Elgin, IL 60123-7876
Phone
(815) 398-9491
Fax
(815) 381-7498
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-001997 IL Primary

Addresses

Primary practice location

1550 N Randall Rd
Elgin, IL 60123-7876

Mailing address

PO Box 735263
Chicago, IL 60673-5263

Other practice location 1

650 S Randall Rd
Algonquin, IL 60102-5944
Phone (815) 398-9491

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amollsen657@direct.edward.org
Direct Messaging Address amollsen657@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070717000360 IL Practitioner - Physician Assistant 1456451699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

1550 N Randall Rd
Elgin, IL 60123-7876
Phone (815) 398-9491

650 S Randall Rd
Algonquin, IL 60102-5944
Phone (815) 381-7431

770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.02 of 100Reported as group
Quality
68.63
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-001997ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC CurrentSince Apr 20, 2023 Accepting new patients
Orthomidwest, PLLC CurrentSince Apr 20, 2023 Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 6, 2009 Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 6, 2009 Accepting new patients
Orthomidwest, PLLC Physician Assistant Past Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1550 N Randall Rd
Elgin, IL 60123
Phone (815) 569-6355

120 Spalding Dr
Ste 400
Naperville, IL 60540
Phone (630) 967-2225

535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • Direct secure messaging: amollsen657@direct.edward.org
  • Direct secure messaging: amollsen657@dulyhealthandcare.direct-ci.com

Organizations & group practices 5

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 3

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1639140338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735263",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237876",
            "telephone_number": "815-398-9491",
            "fax_number": "815-381-7498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 S Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601025944",
            "country_code": "US",
            "telephone_number": "815-398-9491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLSEN",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amollsen657@direct.edward.org",
            "affiliation": "N",
            "address_1": "120 Spalding Dr",
            "address_2": "400",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amollsen657@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "120 Spalding Dr",
            "address_2": "400",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.