Individual provider Active NPI

Kelsey Elaine Mollura, PA

  • Physician Assistant
  • Aliquippa, PA
National Provider Identifier
1942530522
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053969 Issued in PA
Practice address
3113 Green Garden Rd
Aliquippa, PA 15001-1000
Phone
(724) 770-7171
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019461-1 NY
Physician Assistant 363A00000X MA053969 PA Primary

Addresses

Primary practice location

3113 Green Garden Rd
Aliquippa, PA 15001-1000

Mailing address

3113 Green Garden Rd
Aliquippa, PA 15001-1000
Phone (724) 770-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160818001151 NY Practitioner - Physician Assistant 1951696780
I20191223000984 PA Practitioner - Physician Assistant 1951696780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

3113 Green Garden Rd
Aliquippa, PA 15001-1000
Phone (724) 773-4650

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019461NYMDPhysical Therapist
019461-1NYMDPhysician Assistant
MA053969PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Dec 9, 2019 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jun 1, 2016 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

3113 Green Garden Rd
Aliquippa, PA 15001
Phone (724) 378-9170

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

Interoperability endpoints

  • Direct secure messaging: kelseymollura@hvhs.allscriptsdirect.net

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.

Hospital & facility affiliations 3

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": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1942530522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 GREEN GARDEN RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011000",
            "telephone_number": "724-770-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 GREEN GARDEN RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011000",
            "telephone_number": "724-770-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLURA",
        "first_name": "KELSEY",
        "middle_name": "ELAINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019461-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.