MOLLY ROBERSON PA
NPI 1194224048
Physician Assistant - Surgical in Louisville, KY

Q: What is Molly Roberson's NPI number?

The NPI number for Molly Roberson is 1194224048. It was assigned to this individual provider in the NPPES registry on February 6, 2018.

Q: What is Molly Roberson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Molly Roberson was last updated on July 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 06, 2018PECOS EnrolledAccepts Medicare Assignment

9880 ANGIES WAY STE 250, LOUISVILLE, KY 40241(502) 394-6341(502) 394-6340 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2019, Nov 5, 2018, Oct 26, 2018 (3 updates tracked since 2018).

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About Molly Roberson Pa NPPES

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

MOLLY ROBERSON PA (NPI 1194224048) is an individual surgical provider in Louisville, Kentucky and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Physicians' Medical Center Llc, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1194224048

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMOLLY ROBERSONCredential: PA

Location Address9880 ANGIES WAY STE 250Louisville, KY 40241-2865

Mailing Address3605 Northgate Ct Ste 204New Albany, IN 47150-6422 · (812) 207-2130 · Fax (812) 207-2140

Phone(502) 394-6341

Fax(502) 394-6340

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 6, 2018

Last NPPES UpdateJuly 25, 20193 updates tracked since enumeration

✔ NPI 1194224048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

9880 ANGIES WAY STE 250, Louisville, KY 40241

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Secondary Practice Location 1

Location 11064 Eastern PkwyLouisville, KY 40217-1532 · Phone (502) 489-4325

Other Identifiers 2

OtherPA2333KY · Ky License

Other10002406AIN · In License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Molly Roberson Pa 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 ID7810258720

PECOS Enrollment IDI20181213000755

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.

Areas of Expertise CMS Part B claims 2

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

13 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Physicians' Medical Center LLC

Acute Care Hospitals · New Albany, IN

OwnershipPhysician

CMS Certification Number150172

Location4023 Reas LnNew Albany, IN 47150 · Floyd County

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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.

JOSHUA WU DO

Family Medicine (Sports Medicine)