Individual provider Active NPI

Molly Ann Miller, FNP-C

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1700557808
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NR22887100 Issued in NJ
Practice address
525 E 68TH St # 99
New York, NY 10065-4870
Phone
(212) 821-0850
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NR22887100 NJ Primary
Nurse Practitioner 363L00000X F350699 NY

Addresses

Primary practice location

525 E 68TH St # 99
New York, NY 10065-4870

Mailing address

525 E 68TH St # 99
New York, NY 10065-4870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231024003836 NY Practitioner - Nurse Practitioner 3476943515 Reassigns benefits to 2 organizations
I20260210003806 CO Practitioner - Nurse Practitioner 3476943515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Neurology GroupGroup PAC ID 4688563000, 96 clinicians
Boulder Cognitive and Linguistic Center IncGroup PAC ID 5092027409, 21 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

160 E 53Rd St
New York, NY 10022-5243
Phone (212) 639-2000

4251 Kipling St
Unit 405
Wheat Ridge, CO 80033-6833
Phone (303) 932-2030

Hospital & facility affiliations

  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F350699NYMDNurse Practitioner
26NR22887100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Sep 11, 2023 Accepting new patients
Weill Medical College of Cornell CurrentSince Sep 11, 2023 Accepting new patients
Boulder Cognitive and Linguistic Center Inc CurrentSince Jan 5, 2026 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Memorial Neurology Group CurrentSince Mar 10, 2025 Accepting new patients
Boulder Cognitive and Linguistic Center Inc CurrentSince Jan 5, 2026 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

4251 Kipling St
Unit 405
Wheat Ridge, CO 80033
Phone (303) 932-2030

1305 York Ave
#9
New York, NY 10021
Phone (646) 962-3376

520 E 70th St
#651
New York, NY 10021
Phone (212) 746-2385

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#99
New York, NY 10065
Phone (212) 746-2363

1305 York Ave
Fl 9
New York, NY 10021
Phone (646) 962-3376

240 E 59th St
New York, NY 10022
Phone (212) 421-0473

156 William St
New York, NY 10038
Phone (646) 962-4679

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

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 5

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1700557808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST # 99",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST # 99",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-821-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR22887100",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F350699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.