MOLLY PESTOW NP
NPI 1194348995
Nurse Practitioner - Family in South Bend, IN

Q: What is Molly Pestow's NPI number?

The NPI number for Molly Pestow is 1194348995. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Q: What is Molly Pestow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Molly Pestow was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 27, 2020PECOS EnrolledAccepts Medicare Assignment

73.14/100

CMS Quality Rating

1815 E IRELAND RD, SOUTH BEND, IN 46614(574) 647-1700(574) 647-7572 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Sep 5, 2024, Nov 8, 2023 and 1 more (4 updates tracked since 2020).

On this page

About Molly Pestow Np NPPES

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

MOLLY PESTOW NP (NPI 1194348995) is an individual family provider in South Bend, Indiana, licensed in Indiana (71010059A) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194348995

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMOLLY PESTOWCredential: NP

Location Address1815 E IRELAND RDSouth Bend, IN 46614-2845

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725

Phone(574) 647-1700

Fax(574) 647-7572

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 27, 2020

Last NPPES UpdateAugust 19, 20264 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1194348995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71010059A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71010059A (IN)

1815 E IRELAND RD, South Bend, IN 46614

Open in Google Maps ↗

Secondary Practice Locations 4

Location 153880 Carmichael DrSouth Bend, IN 46635-1567 · Phone (574) 247-9441

Location 260160 Bodnar BlvdMishawaka, IN 46544-9338 · Phone (574) 247-9441

Location 32349 Lake Ave Ste 201Plymouth, IN 46563-7837 · Phone (574) 247-9441

Location 4303 S Nappanee St Ste FElkhart, IN 46514-2066 · Phone (574) 247-9441

Other Identifiers 1

Medicaid300038781IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Molly Pestow Np 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 ID143641936

PECOS Enrollment IDI20200603001424

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 Reassignment

Medicare enrollment records show Molly Pestow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Indiana Orthopedics, LLC

79 mi

Orthopaedic Surgery

706 N RIVER DR
Marion, IN 46952

Reassigned Medicare billing, Indiana enrollment
135 clinicians in this Medicare group

NPI 1619694726 (765) 664-2671

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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

164 services27 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.

53 services38 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

37 services31 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

31 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46614 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

73.14/100

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

Scored as part of a group practice

Quality

57.87

Promoting Interoperability

Improvement Activities

Cost

59.27

Reported Quality Measures

Advance Care Plan

83%186 patients4/55-star benchmark: 100%

Breast Cancer Screening

36%174 patients2/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

79%117 patients4/55-star benchmark: 87%

Colorectal Cancer Screening

55%347 patients3/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

98%747 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

57%175 patients3/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 88% · 739 patients

Patients screened: 90% · 739 patients

81%86 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

75%190 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 189 patients

Patients totalRate: 3% · 189 patients

2%189 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. TRAVIS WEAVER D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)