Individual provider Active NPI

Molly Bradish Degroh, FNP-C

  • Family Nurse Practitioner
  • McHenry, IL
National Provider Identifier
1942020755
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209030726 Issued in IL
Practice address
808 N Oakwood Dr
McHenry, IL 60050-4926
Phone
(847) 830-4476
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209030726 IL Primary
Primary Care Nurse Practitioner 363LP2300X 209.030726 IL

Addresses

Primary practice location

808 N Oakwood Dr
McHenry, IL 60050-4926

Mailing address

808 N Oakwood Dr
McHenry, IL 60050-4926
Phone (847) 830-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250124003518 IL Practitioner - Nurse Practitioner 7113456849 Reassigns benefits to 1 organization

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
Midwest Center for Women'S Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

1875 Dempster St
Suite 245
Park Ridge, IL 60068-1126
Phone (847) 692-9234

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.030726ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women'S Health Care, LTD. CurrentSince Jan 21, 2025 Accepting new patients
Obstetrics, Gynecology & Infertility,S.C. Past Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

21660 W Field Pkwy
Fl 3
Deer Park, IL 60010
Phone (847) 692-9234

2604 W Dempster St
Ste 410
Park Ridge, IL 60068
Phone (847) 692-9234

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

2604 Dempster St
Park Ridge, IL 60068
Phone (847) 219-9600

1875 Dempster St
Ste 245
Park Ridge, IL 60068
Phone (847) 692-9234

18931 W Washington St
Ste 100
Third Lake, IL 60030
Phone (847) 548-2200

Interoperability endpoints

  • Direct secure messaging: molly.degroh.1@21117.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 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": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1942020755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N OAKWOOD DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504926",
            "telephone_number": "847-830-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N OAKWOOD DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504926",
            "telephone_number": "847-830-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROH",
        "first_name": "MOLLY",
        "middle_name": "BRADISH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030726",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.030726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.