Individual provider Active NPI

Vanessa Exama Molin, CRNP

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1760951131
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP019716 Issued in PA
Practice address
7515 Stenton Ave
Philadelphia, PA 19150-3710
Phone
(267) 335-5264
NPI assigned
Nov 15, 2018
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 WAITING PA
Gerontology Nurse Practitioner 363LG0600X SP019716 PA Primary

Addresses

Primary practice location

7515 Stenton Ave
Philadelphia, PA 19150-3710

Mailing address

7515 Stenton Ave
Philadelphia, PA 19150-3710
Phone (267) 335-5264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190115000056 PA Practitioner - Nurse Practitioner 2163768052 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excel Medical CenterGroup PAC ID 7315132537, 20 clinicians

Practice addresses (Care Compare)

7515 Stenton Ave
Philadelphia, PA 19150-3710
Phone (267) 335-5264

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
70
Promoting interoperability
93
Improvement activities
20
Cost
88.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WAITINGPAMDNurse Practitioner
SP019716PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Medical and Wellness CurrentSince Oct 18, 2025 Accepting new patients
Excel Medical Center CurrentSince Dec 17, 2018 Accepting new patients

Locations

208 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 849-3104

5604 N Broad St
Philadelphia, PA 19141
Phone (215) 927-0224

7515 Stenton Ave
Philadelphia, PA 19150
Phone (215) 842-5246

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vanessa.molin.1@25233.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1760951131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503710",
            "telephone_number": "267-335-5264",
            "fax_number": "267-335-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503710",
            "telephone_number": "267-335-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLIN",
        "first_name": "VANESSA",
        "middle_name": "EXAMA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "WAITING",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP019716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.