1. Home
  2. Directory
  3. NPI Profile

MOLLIE A CHARON MD
NPI 1013159508
Family Medicine in Lake Delton, WI

Active since March 30, 2009PECOS Enrolled
530 WI DELLS PARKWAY SOUTH, LAKE DELTON, WI 53940(608) 254-5400(608) 253-8585 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2021, Oct 2, 2015 (2 updates tracked since 2015).

About Mollie A Charon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLIE A CHARON MD (NPI 1013159508) is an individual family medicine provider in Lake Delton, Wisconsin, licensed in Wisconsin (64472-20) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013159508
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMOLLIE A CHARONCredential: MD
Location Address530 WI DELLS PARKWAY SOUTHLake Delton, WI 53940
Mailing Address530 Wi Dells Parkway SouthLake Delton, WI 53940 · (608) 254-5400 · Fax (608) 253-8585
Phone(608) 254-5400
Fax(608) 253-8585
Sole ProprietorNo
Enumeration DateMarch 30, 2009
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1013159508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 64472-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
530 WI DELLS PARKWAY SOUTH, Lake Delton, WI 53940
Open in Google Maps ↗

Other Identifiers 2

OtherP01558256WI · Railroad Medicare
Medicaid1013159508WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mollie A Charon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mollie Charon's NPI number?

The NPI number for Mollie Charon is 1013159508. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Mollie Charon located?

Mollie Charon practices at 530 Wi Dells Parkway South, Lake Delton, WI 53940. The listed phone number is (608) 254-5400.

What is Mollie Charon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mollie Charon enrolled in Medicare?

Yes. Mollie Charon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mollie Charon was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.