Individual provider Active NPI

Molly A Mansur, AGACNP, DNP- BC

  • Nurse Practitioner
  • Salina, KS
National Provider Identifier
1902311152
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-78026 Issued in KS
Practice address
400 S Santa Fe Ave
Salina, KS 67401-4144
Phone
(785) 452-7742
Fax
(785) 452-7256
NPI assigned
Dec 11, 2017
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-78026 KS Primary

Addresses

Primary practice location

400 S Santa Fe Ave
Salina, KS 67401-4144

Mailing address

400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (785) 452-7742

Other identifiers 1

IdentifierTypeStateIssuer
201199410AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20180529000720 KS Practitioner - Nurse Practitioner 1153686951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

400 S Santa Fe Ave
Salina Regional Emergency Physicians
Salina, KS 67401-4144
Phone (785) 452-7163

6700 E 45TH St N
Bel Aire, KS 67226-8817
Phone (316) 744-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
67.95
Improvement activities
40
Cost
77.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-78026KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hospitalists of Kansas, LLC CurrentSince Aug 1, 2024 Accepting new patients
Salina Regional Health Center Inc CurrentSince Jun 1, 2018 Accepting new patients
Salina Regional Health Center, Inc CurrentSince Jun 1, 2018 Accepting new patients
Premier Hospitalists of Kansas, LLC CurrentSince Aug 1, 2024 Accepting new patients
Comcare, P.a Past Accepting new patients
Salina Regional Health Center, Inc Past Accepting new patients

Locations

6700 E 45th St N
Bel Aire, KS 67226
Phone (316) 744-2020

445 N Westview Dr
Derby, KS 67037
Phone (316) 788-3739

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

3515 W Central Ave
Wichita, KS 67203
Phone (316) 942-0119

Interoperability endpoints

  • Direct secure messaging: mmansur-noreply@srhcdirect.com

Organizations & group practices 6

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 2

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1902311152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7742",
            "fax_number": "785-452-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-7742",
            "fax_number": "785-452-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSUR",
        "first_name": "MOLLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "AGACNP, DNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201199410A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.