Individual provider Active NPI

Molly Elizabeth Sophis, CNP

  • Family Nurse Practitioner
  • Clinton, MA
National Provider Identifier
1962904367
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2286705 Issued in MA
Practice address
792 Main St
Clinton, MA 01510-1608
Phone
(978) 368-7631
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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 2286705 MA
Family Nurse Practitioner 363LF0000X RN2286705 MA Primary

Addresses

Primary practice location

792 Main St
Clinton, MA 01510-1608

Mailing address

10 Hillside Ave
Clinton, MA 01510-1324

Other names 1

  • Ms. Molly Elizabeth Plunkett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL molly.plunkett@minuteclinic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180718002906 MA Practitioner - Nurse Practitioner 6800143165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maragal Medical PCGroup PAC ID 4688937246, 7 clinicians

Practice addresses (Care Compare)

54 Williams St
Leominster, MA 01453-3276
Phone (978) 537-0555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2286705MAMDFamily Nurse Practitioner
RN2286705MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maragal Medical PC CurrentSince Nov 1, 2022 Accepting new patients

Locations

54 Williams St
Leominster, MA 01453
Phone (978) 537-0555

Organizations & group practices 1

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1962904367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HILLSIDE AVE",
            "city": "CLINTON",
            "state": "MA",
            "postal_code": "015101324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 MAIN ST",
            "city": "CLINTON",
            "state": "MA",
            "postal_code": "015101608",
            "telephone_number": "978-368-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPHIS",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2286705",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2286705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "molly.plunkett@minuteclinic.com",
            "affiliation": "N",
            "address_1": "792 Main St",
            "city": "Clinton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015101608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "PLUNKETT",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, MA

Sources for this page

Verify at the official NPI Registry.