Individual provider Active NPI

Molly Lynn Shelters Parker, D.O.

  • Family Medicine Physician
  • Jonesville, MI
National Provider Identifier
1992074231
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101018841 Issued in MI
Practice address
216 Olds St
Jonesville, MI 49250-1128
Phone
(517) 849-7100
NPI assigned
Dec 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101018841 MI Primary

Addresses

Primary practice location

216 Olds St
Jonesville, MI 49250-1128

Mailing address

216 Olds St
Jonesville, MI 49250-1128
Phone (517) 849-7100

Other practice location 1

240 W. Carleton Rd.
Hillsdale, MI 49242
Phone (517) 437-8333

Other names 1

  • Molly Lynn Shelters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131112002060 MI Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2769618149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 Olds St
Jonesville, MI 49250-1128
Phone (517) 849-7100

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018841MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Molly Parker DO, PC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

216 Olds St
Jonesville, MI 49250
Phone (517) 849-7100

Interoperability endpoints

  • Direct secure messaging: mparker719348@direct.hfhs.org

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 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": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1992074231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501128",
            "telephone_number": "517-849-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501128",
            "telephone_number": "517-849-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 W. Carleton Rd.",
            "address_purpose": "LOCATION",
            "city": "Hillsdale",
            "state": "MI",
            "postal_code": "49242",
            "country_code": "US",
            "telephone_number": "517-437-8333",
            "fax_number": "517-437-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MOLLY",
        "middle_name": "LYNN SHELTERS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "SHELTERS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jonesville, MI

Sources for this page

Verify at the official NPI Registry.