MOLLY KATE MERTZ PA-C
NPI 1053122317
Physician Assistant in Broken Arrow, OK

Active since January 16, 2025PECOS Enrolled
1245 N BIRCH AVE, BROKEN ARROW, OK 74012(918) 294-3278 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Molly Kate Mertz Pa-c NPPES

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

MOLLY KATE MERTZ PA-C (NPI 1053122317) is an individual physician assistant in Broken Arrow, Oklahoma, licensed in Oklahoma (5454) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Owasso.

NPPES Registry Identity

NPI1053122317
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMOLLY KATE MERTZCredential: PA-C
Location Address1245 N BIRCH AVEBroken Arrow, OK 74012-2690
Mailing Address1245 N Birch AveBroken Arrow, OK 74012-2690 · (918) 294-3278
Sole ProprietorNo
Enumeration DateJanuary 16, 2025
Last NPPES UpdateMay 13, 2025
NPPES CertifiedMay 13, 2025
NPI 1053122317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 5454
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1245 N BIRCH AVE, Broken Arrow, OK 74012

Secondary Practice Location 1

Location 112455 E 100th St N Ste 260Owasso, OK 74055-4676 · Phone (918) 294-3278

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Molly Kate Mertz Pa-c 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 74012 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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 2

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

Internal Medicine (Pulmonary Disease)
1245 N BIRCH AVE
BROKEN ARROW, OK 74012
Internal Medicine (Pulmonary Disease)
1245 N BIRCH AVE
BROKEN ARROW, OK 74012

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 Molly Mertz's NPI number?

The NPI number for Molly Mertz is 1053122317. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Where is Molly Mertz located?

Molly Mertz practices at 1245 N Birch Ave, Broken Arrow, OK 74012. The listed phone number is (918) 294-3278.

What is Molly Mertz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Molly Mertz enrolled in Medicare?

Yes. Molly Mertz is registered in the Medicare PECOS enrollment system.

What insurance does Molly Mertz accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Molly Mertz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Molly Mertz was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.