Maple Medical and Wellness

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MAPLE MEDICAL AND WELLNESS

Practice address

4612 Ashburner St
Philadelphia, PA 19136-2810

Phone

(267) 901-8359

NPI assigned

Oct 17, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Vanessa Exama Molin, CRNP

Title

Nurse Practitioner

Phone

(267) 901-8359

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Exama Molin, CRNP

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
  • NPI 1760951131
  Medicare reassignment NPD

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1710853502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 ASHBURNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362810",
            "telephone_number": "267-901-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 ASHBURNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362810",
            "telephone_number": "267-901-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE MEDICAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "EXAMA MOLIN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "267-901-8359",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Mao
• Yi Xuan Mao, DENTAL STUDENT
• Map It Out Home Care Services, LLC
• Maple Leaf Behavioral Services
• Maple Leaf Home Care Services LLC
• Christopher Michael Maples-Campbell
• Maplewood Manor, LLC
• Maplewood Nursing and Rehabilitation Center PA LP
• Maplewood Operating, LLC
• Maja T Mapp-Luke, LPC

• Primary Care Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.