Molly Jo Meier, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Ripon, WI
NPI 1689985202 · NPPES record last updated Jun 27, 2022
Key facts
- NPI
- 1689985202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 1021-25 (WI)
- Practice address
- 790 Eastgate Dr
Ripon, WI 54971-9614 - Phone
- (920) 926-8282
- Fax
- (920) 926-8098
- NPI assigned
- Jun 29, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agnesian Healthcare Inc
Practice addresses (Care Compare)
790 Eastgate Dr
Ripon, WI 54971-9614
Phone (920) 745-3180
Hospital & facility affiliations
- Ripon Medical Center
- SSM Health St Agnes Hospital-Fond Du Lac
- Waupun Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 129 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 214 |
| Removal or shaving of skin growth | 97 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130703000384 | WI | Practitioner - Podiatry | 5193965655 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021-25 | WI | MD | Podiatrist |
| 1021 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Podiatrist | Current |
Accepting new patients |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Agnesian Healthcare Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients |
Locations
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
1580 W James St
Columbus, WI 53925
Phone (920) 345-1306
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
421 Camelot Dr
Fond du Lac, WI 54935
Phone (920) 923-7940
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111
790 Eastgate Dr
Ripon, WI 54971
Phone (920) 745-3180
835 Parkside St
Ripon, WI 54971
Phone (920) 745-3520
608 W Brown St
Waupun, WI 53963
Phone (920) 324-6800
180 Gateway Dr
Waupun, WI 53963
Phone (920) 345-1306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1021-25 | WI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00459 | KY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1021-25 | WI | Yes |
Addresses
Primary practice location
790 Eastgate Dr
Ripon, WI 54971-9614
Mailing address
1808 W Beltline Hwy
Attn: Nancy Pierce-SSM Health FDL Regional Clinic
Madison, WI 53713-2334
Phone (920) 926-8282
Other practice location 1
911 Bypass Rd
Clinic 6
Pikeville, KY 41501-1689
Phone (606) 218-6409
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmolly411417@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Ripon, WI
- Jeanne M Lyke
- Erin Maguire
- Maplecrest Manor Inc.
- Maplecrest Manor Inc.
- MDC Ripon SC
- Jeffrey W Meincke-Reza
- Inga Johanna Meixell
- Midel Incorporated
- Theodore D Miller
- Philip J Mittelstaedt
All providers in Ripon, WI · Foot & Ankle Surgery Podiatrist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.