Molly Jane Vail-Jackson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

74738 Issued in MN

Practice address

330 N 8TH Ave E
Duluth, MN 55805-2024

Phone

(218) 529-9122

NPI assigned

May 12, 2022

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Molly Jane Vail Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Minnesota Medical School, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cook Area Health Services, IncGroup PAC ID 4880681303, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cook Hospital Hospital, Cook, MN, CCN 241312
• Essentia Health St Mary's Medical Center Hospital, Duluth, MN, CCN 240002
• Cook Hospital Nursing home, CCN 24Z312

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Cook Hospital

  • Skilled Nursing Facility
  • Cook, MN
  • NPI 1750339826

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Cook Area Health Services, Inc

  dba Scenic Rivers Health Services

  • Clinic/Center
  • Floodwood, MN
  • NPI 1174596027
  Medicare reassignment Care Compare group NPD
• Cook Area Health Services, Inc

  dba Scenic Rivers Health Services

  • Clinic/Center
  • Cook, MN
  • NPI 1437124401
  NPD
• Cook Area Health Services, Inc

  dba Scenic Rivers Health Services

  • Clinic/Center
  • Eveleth, MN
  • NPI 1508443847
  NPD
• Cook Area Health Services, Inc

  dba Scenic Rivers Health Services

  • Dental Clinic/Center
  • Tower, MN
  • NPI 1619213741
  NPD (past)

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

• Cook Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Cook, MN
  • NPI 1720036262

  Nursing home

  Care Compare affiliation
• Cook Hospital

  • Critical Access Hospital
  • Cook, MN
  • NPI 1992763858
  Care Compare affiliation
• St Marys Medical Center

  dba Essentia Health St Marys Medical Center

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1457393035
  Care Compare affiliation
• St. Marys Medical Center

  dba SMMC Life Flight

  • Air Ambulance
  • Duluth, MN
  • NPI 1841359478

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1700522687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N 8TH AVE E",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052024",
            "telephone_number": "218-529-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N 8TH AVE E",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052024",
            "telephone_number": "218-529-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIL-JACKSON",
        "first_name": "MOLLY",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "74738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "VAIL",
            "middle_name": "JANE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rodolfo Edmundo Urias
• Brock Thomas Urie, MD
• Matthew Urmanski, DPT
• Danielle Elizabeth Urness, APRN, CNP
• Justine Urshan, RN, CNP
• Sharnell Rae Valentine, MD
• Richard J Valento, LPCC
• Michelle Turner Vallie, PA-C
• Kerry Lynn Van Dusen, PSYD LP
• Jacquelyn Ann Van Ert

• Family Medicine Physician in Duluth, MN
• Providers in Duluth, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.