MOLLY ANNE MOORE-PULLIN A.N.P. - NPI 1154310902 - Nurse Practitioner in Prescott, AZ

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

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About Molly Anne Moore-pullin A.n.p. NPPES

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

MOLLY ANNE MOORE-PULLIN A.N.P. (NPI 1154310902) is an individual adult health provider in Prescott, Arizona, licensed in Arizona (RN049339) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154310902

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMOLLY ANNE MOORE-PULLINCredential: A.N.P.

Location Address802 AINSWORTH DR STE APrescott, AZ 86301-1623

Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (928) 759-5874 · Fax (928) 458-2039

Phone(928) 445-6025

Fax(928) 777-2423

Sole ProprietorNo

Enumeration DateOctober 14, 2005

Last NPPES UpdateNovember 10, 20204 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1154310902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AZ · RN049339

802 AINSWORTH DR STE A, Prescott, AZ 86301

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Other Names 1

Former Name (1)Molly A Moore

Other Identifiers 1

OtherZ214401AZ · Medicare Individual Ptan

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 Anne Moore-pullin A.n.p. 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 86301 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers870 claims876 services$83.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

GEORGE GELLERT MD

Anesthesiology