Individual provider Active NPI

Molly Miller, NP

  • Family Nurse Practitioner
  • Johnston City, IL
National Provider Identifier
1700648052
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.029018 Issued in IL
Practice address
14410 Route 37
Johnston City, IL 62951-3166
Phone
(618) 983-6911
Fax
(618) 983-2815
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209029018 IL
Family Nurse Practitioner 363LF0000X 209.029018 IL Primary

Addresses

Primary practice location

14410 Route 37
Johnston City, IL 62951-3166

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401

Other practice location 1

310 W Plaza Dr
Carterville, IL 62918-1980
Phone (618) 985-4344

Other practice location 2

2 Good Samaritan Way Ste 420
Mount Vernon, IL 62864-2478
Phone (618) 899-4000

Other identifiers 1

IdentifierTypeStateIssuer
209029018OtherILLICENSE

Other names 1

  • Molly Price Former name

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
I20240311000682 IL Practitioner - Nurse Practitioner 4486090651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Services Corporation of Southern Illinois IncGroup PAC ID 9234022567, 120 clinicians

Practice addresses (Care Compare)

14410 Route 37
Johnston City, IL 62951-3166
Phone (618) 983-6911

2 Good Samaritan Way
Suite 420
Mount Vernon, IL 62864-2478
Phone (618) 899-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209029018ILMDNurse Practitioner
209.029018ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health of Southern Illinois CurrentSince Feb 12, 2024 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Dec 16, 2024 Accepting new patients
Integrated Health of Southern Illinois, LTD. CurrentSince Feb 12, 2024 Accepting new patients

Locations

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

308 W Plaza Dr
Ste A
Carterville, IL 62918
Phone (618) 985-4344

303 S Commercial St
Ste 10
Harrisburg, IL 62946
Phone (618) 252-5555

2 Good Samaritan Way
Ste 420
Mount Vernon, IL 62864
Phone (618) 899-4000

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1700648052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 ROUTE 37",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629513166",
            "telephone_number": "618-983-6911",
            "fax_number": "618-983-2815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Carterville",
            "state": "IL",
            "postal_code": "629181980",
            "country_code": "US",
            "telephone_number": "618-985-4344",
            "fax_number": "833-991-3991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Good Samaritan Way Ste 420",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642478",
            "country_code": "US",
            "telephone_number": "618-899-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MOLLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209029018",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.029018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "209029018",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "PRICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnston City, IL

Sources for this page

Verify at the official NPI Registry.