Individual provider Active NPI

Jessica Elizabeth Moll

  • Obstetrics & Gynecology Physician
  • Westfield, IN
National Provider Identifier
1790345478
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02007346A Issued in IN
Practice address
19800 East St Ste 120
Westfield, IN 46074-3833
Phone
(317) 621-7120
Fax
(317) 621-7119
NPI assigned
Jun 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5151013630 MI
Obstetrics & Gynecology Physician 207V00000X 02007346A IN Primary

Addresses

Primary practice location

19800 East St Ste 120
Westfield, IN 46074-3833

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

13420 N Meridian St Ste 300
Carmel, IN 46032-1581
Phone (317) 582-8300

Other identifiers 2

IdentifierTypeStateIssuer
300078346MedicaidIN
5151013630OtherMIMICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmoll@sparrow.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20230715000725 IN Practitioner - Obstetrics/Gynecology 4880054394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Marian University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13420 N Meridian St
Carmel, IN 46032-1581
Phone (317) 582-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02007346AINMDObstetrics & Gynecology Physician
5151013630MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Mar 18, 2024 Accepting new patients
St. Vincent Medical Group, Inc. Obstetrics & Gynecology CurrentSince Mar 18, 2024 Accepting new patients

Locations

13420 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 582-7248

3700 Washington Ave
Ste 2200
Evansville, IN 47714
Phone (812) 485-7111

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

Interoperability endpoints

  • Direct secure messaging: jessica.moll.2@7598.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1790345478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 EAST ST STE 120",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460743833",
            "telephone_number": "317-621-7120",
            "fax_number": "317-621-7119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13420 N Meridian St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460321581",
            "country_code": "US",
            "telephone_number": "317-582-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLL",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5151013630",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02007346A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300078346",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "5151013630",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoll@sparrow.org",
            "affiliation": "N",
            "address_1": "1215 E Michigan Ave",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489121811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.