Individual provider Active NPI

Molly Linnane

  • Primary Care Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1972356186
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2345416 Issued in MA
Practice address
54 Williams St # 3276
Leominster, MA 01453-3276
Phone
(978) 906-0631
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 RN2345416 MA Primary

Addresses

Primary practice location

54 Williams St # 3276
Leominster, MA 01453-3276

Mailing address

54 Williams St # 3276
Leominster, MA 01453-3276

Other practice location 1

26 Marywood St
Uxbridge, MA 01569-2413
Phone (508) 688-2507

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
I20240918002885 MA Practitioner - Nurse Practitioner 6901347962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2345416MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maragal Medical PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

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

54 Williams St
#3276
Leominster, MA 01453
Phone (413) 505-7559

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1972356186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WILLIAMS ST # 3276",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WILLIAMS ST # 3276",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533276",
            "telephone_number": "978-906-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Marywood St",
            "address_purpose": "LOCATION",
            "city": "Uxbridge",
            "state": "MA",
            "postal_code": "015692413",
            "country_code": "US",
            "telephone_number": "508-688-2507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINNANE",
        "first_name": "MOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2345416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.