Individual provider Active NPI

Mollie Marie Trupp, MSN, APRN, CNP

  • Family Nurse Practitioner
  • Miamisburg, OH
National Provider Identifier
1861228504
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0037421 Issued in OH
Practice address
1181 E Linden Ave
Miamisburg, OH 45342-3465
Phone
(937) 668-2465
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0037421 OH Primary

Addresses

Primary practice location

1181 E Linden Ave
Miamisburg, OH 45342-3465

Mailing address

1181 E Linden Ave
Miamisburg, OH 45342-3465
Phone (937) 668-2465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241031001548 OH Practitioner - Nurse Practitioner 5597298323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical GroupGroup PAC ID 2860386349, 29 clinicians

Practice addresses (Care Compare)

2320 Beechwood Dr
Germantown, OH 45327-9462
Phone (937) 895-4092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037421OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Sep 18, 2024 Accepting new patients
Wellness Urgent Care LLC CurrentSince Feb 26, 2025 Accepting new patients

Locations

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

2004 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (513) 248-0223

805 Central Ave
Franklin, OH 45005
Phone (513) 999-9999

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1861228504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 E LINDEN AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423465",
            "telephone_number": "937-668-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 E LINDEN AVE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423465",
            "telephone_number": "937-668-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUPP",
        "first_name": "MOLLIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.