CAROLINE MOLONY PMHNP
NPI 1053995472
Nurse Practitioner - Psychiatric/Mental Health in Medina, OH

Q: What is Caroline Molony's NPI number?

The NPI number for Caroline Molony is 1053995472. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Q: What is Caroline Molony's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Molony was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 11, 2021PECOS EnrolledAccepts Medicare Assignment

94.42/100

CMS Quality Rating

3593 RESERVE COMMONS DRIVE, MEDINA, OH 44256(330) 536-3746 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2025, May 11, 2021 (2 updates tracked since 2021).

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About Caroline Molony Pmhnp NPPES

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

CAROLINE MOLONY PMHNP (NPI 1053995472) is an individual psychiatric/mental health provider in Medina, Ohio, licensed in Ohio (APRN.CNP.0028633) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053995472

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCAROLINE MOLONYCredential: PMHNP

Location Address3593 RESERVE COMMONS DRIVEMedina, OH 44256

Mailing Address245 Forest AveLudlow, KY 41016-1408

Phone(330) 536-3746

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 11, 2021

Last NPPES UpdateApril 10, 20252 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1053995472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OH · APRN.CNP.0028633✔ Licensed in IN · 71016041A✔ Licensed in PA · SP030708✔ Licensed in WV · 117590✔ Licensed in KY · 3015967

3593 RESERVE COMMONS DRIVE, Medina, OH 44256

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Molony Pmhnp 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 ID9234530460

PECOS Enrollment IDI20210625001081, I20230824003198, I20240311002315, I20250327002578, I20250422001939

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.

Medicare Billing Reassignments

Medicare enrollment records show Caroline Molony reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alcove Ventures LLC

24 mi

Psychiatric/Mental Health

10603 DETROIT AVE
Cleveland, OH 44102

Reassigned Medicare billing, Ohio enrollment
100 clinicians in this Medicare group

NPI 1093191322 (844) 291-4535

P360 Care Services PLLC Dba Psych 360

83 mi

Psychiatric/Mental Health

246 FRIENDSHIP CIR
Beaver, PA 15009

Reassigned Medicare billing, Pennsylvania enrollment
37 clinicians in this Medicare group

NPI 1750058202 (844) 291-4535

West Virginia Psych. Services PLLC

95 mi

Psychiatric/Mental Health

47 WASHINGTON AVE # 168
Wheeling, WV 26003

Reassigned Medicare billing, West Virginia enrollment
24 clinicians in this Medicare group

NPI 1407427321 (615) 334-5078

Mindcare Solutions, PC

202 mi

Psychiatry

245 FOREST AVE
Ludlow, KY 41016

Reassigned Medicare billing, Kentucky and Indiana enrollments
Also billed through NPI 1417784661 (Indiana)
6 clinicians in this Medicare group

NPI 1386357770 (330) 536-3746

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

631 services236 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

196 services53 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

170 services121 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

136 services80 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

134 services134 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

93 services93 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

60 services36 patients

Administration and interpretation of patient-focused health risk assessment 96160

This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.

55 services55 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

43 services40 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

24 services21 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

20 services19 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.28

Improvement Activities

Cost

58.55

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 Caroline Molony's NPI number?

The NPI number for Caroline Molony is 1053995472. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Caroline Molony located?

Caroline Molony practices at 3593 Reserve Commons Drive, Medina, OH 44256. The listed phone number is (330) 536-3746.

What is Caroline Molony's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Caroline Molony enrolled in Medicare?

Yes. Caroline Molony is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Caroline Molony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Molony reassigns Medicare benefits to 4 organizations: Alcove Ventures LLC (Cleveland, OH), P360 Care Services PLLC Dba Psych 360 (Beaver, PA), West Virginia Psych. Services PLLC (Wheeling, WV) and Mindcare Solutions, PC (Ludlow, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Molony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Molony accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare, MedMutual and Molina Healthcare list Caroline Molony 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 Caroline Molony was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.