ETENESH MOLLA NP
NPI 1043878259
Nurse Practitioner in Houston, TX

Q: What is Etenesh Molla's NPI number?

The NPI number for Etenesh Molla is 1043878259. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Q: What is Etenesh Molla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Etenesh Molla was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since June 03, 2019PECOS EnrolledAccepts Medicare Assignment

7200 CAMBRIDGE ST FL 6, HOUSTON, TX 77030(713) 798-2400 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Jun 15, 2021, Jun 3, 2019 (3 updates tracked since 2019).

On this page

About Etenesh Molla Np NPPES

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

ETENESH MOLLA NP (NPI 1043878259) is an individual nurse practitioner in Houston, Texas, licensed in Texas (AP138863) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Desoto.

NPPES Registry Identity

NPI1043878259

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameETENESH MOLLACredential: NP

Location Address7200 CAMBRIDGE ST FL 6Houston, TX 77030-4202

Mailing Address18980 W Memorial Dr, Ste 100Humble, TX 77338-4394 · (972) 693-3455

Phone(713) 798-2400

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 3, 2019

Last NPPES UpdateMay 8, 20253 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1043878259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP138863

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License AP138863 (TX)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP138863 (TX)

7200 CAMBRIDGE ST FL 6, Houston, TX 77030

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Secondary Practice Location 1

Location 12727 Bolton Boone Dr Ste 109DeSoto, TX 75115-2019 · Phone (469) 988-4277

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Etenesh Molla Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294061610

PECOS Enrollment IDI20190723002949

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMIRO FERNANDEZ II

Thoracic Surgery (Cardiothoracic Vascular Surgery)