Individual provider Active NPI

Mollie Ann Herr, ARNP

  • Primary Care Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1962006668
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP61105837 Issued in WA
Practice address
2910 E 57TH Ave # 5-329
Spokane, WA 99223-7028
Phone
(509) 535-1143
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP61105837 WA Primary

Addresses

Primary practice location

2910 E 57TH Ave # 5-329
Spokane, WA 99223-7028

Mailing address

2910 E 57TH Ave # 5-329
Spokane, WA 99223-7028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230622001426 NJ Practitioner - Nurse Practitioner 1951714377 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freehold Hospitalists, LLCGroup PAC ID 4486754223, 6 clinicians

Practice addresses (Care Compare)

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61105837WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GPS Physician Group of New Jersey, PC CurrentSince Nov 18, 2023 Accepting new patients
Alignmed Medical Group NJ, PC CurrentSince Dec 3, 2024 Accepting new patients
Geps Physician Group of New Jersey PC Primary Care CurrentSince Nov 18, 2023 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Mar 10, 2023 Accepting new patients

Locations

115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-3620

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

249 High St
Newton, NJ 07860
Phone (855) 699-6312

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: mherr567058@direct.ahsys.org

Organizations & group practices 5

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1962006668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 E 57TH AVE # 5-329",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 E 57TH AVE # 5-329",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237028",
            "telephone_number": "509-535-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "MOLLIE",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61105837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.