Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOLLY PRATT
NPI 1093424368
Nurse Practitioner - Pediatrics in Novato, CA

Active since November 16, 2022PECOS Enrolled
165 ROWLAND WAY STE 201, NOVATO, CA 94945(916) 732-4380 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 5, 2026, Nov 16, 2022 (2 updates tracked since 2022).

About Molly Pratt NPPES

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

MOLLY PRATT (NPI 1093424368) is an individual pediatrics provider in Novato, California, licensed in California (95022895) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093424368
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMOLLY PRATT
Location Address165 ROWLAND WAY STE 201Novato, CA 94945-5055
Mailing Address165 Rowland Way Ste 201Novato, CA 94945-5055 · (916) 732-4380
Sole ProprietorNo
Enumeration DateNovember 16, 2022
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1093424368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95022895
165 ROWLAND WAY STE 201, Novato, CA 94945

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Pratt 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Molly Pratt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2170 SOUTH AVE
South Lake Tahoe, CA 96150
  • Reassigned Medicare billing, California enrollment
  • 148 clinicians in this Medicare group
Family Medicine
2170 SOUTH AVE
South Lake Tahoe, CA 96150
  • Reassigned Medicare billing, California enrollment
  • 100 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94945 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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

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

Registered Nurse (Addiction (Substance Use Disorder))
165 ROWLAND WAY STE 201
NOVATO, CA 94945

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 Pratt's NPI number?

The NPI number for Molly Pratt is 1093424368. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Where is Molly Pratt located?

Molly Pratt practices at 165 Rowland Way Ste 201, Novato, CA 94945. The listed phone number is (916) 732-4380.

What is Molly Pratt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Molly Pratt enrolled in Medicare?

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

Which organizations bill Medicare for Molly Pratt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Pratt reassigns Medicare benefits to 2 organizations: Barton Medical Foundation (South Lake Tahoe, CA) and Tahoe Carson Valley Medical Group Inc (South Lake Tahoe, CA). 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 Molly Pratt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Molly Pratt was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.