Individual provider Active NPI

Molly Louise McInnis, NP

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1992316905
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704314318 Issued in MI
Practice address
1015 S Washington Ave FL 3
Saginaw, MI 48601-2556
Phone
(989) 907-8716
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704314318 MI Primary

Addresses

Primary practice location

1015 S Washington Ave FL 3
Saginaw, MI 48601-2556

Mailing address

11096 Laduke Rd
Freeland, MI 48623-9010
Phone (989) 798-2360

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mollymcinnis@smomsjhs.allscriptsdirect.net

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930000834 MI Practitioner - Nurse Practitioner 3870912587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visiting Nurse Association of SaginawGroup PAC ID 4981869344, 7 clinicians

Practice addresses (Care Compare)

515 N Michigan Ave
Saginaw, MI 48602-4316
Phone (989) 583-2833

Hospital & facility affiliations

  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Medical Associates, PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

255 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4976

Organizations & group practices 2

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1992316905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11096 LADUKE RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239010",
            "telephone_number": "989-798-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE FL 3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-907-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINNIS",
        "first_name": "MOLLY",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704314318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mollymcinnis@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave Fl 3",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486012556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.