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MOLLY MARIE ANDERSEN APRN
NPI 1306096920
Nurse Practitioner - Pediatrics in Slc, UT

Active since September 19, 2008PECOS Enrolled
100 MARIO CAPECCI DR, SLC, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Molly Marie Andersen Aprn NPPES

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

MOLLY MARIE ANDERSEN APRN (NPI 1306096920) is an individual pediatrics provider in Slc, Utah, licensed in Utah (291721-4405) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306096920
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMOLLY MARIE ANDERSENCredential: APRN
Location Address100 MARIO CAPECCI DRSlc, UT 84113-1103
Mailing Address2463 Newcastle DrSandy, UT 84093-2726 · (801) 560-4952
Phone(801) 662-1000
Sole ProprietorNo
Enumeration DateSeptember 19, 2008
✔ NPI 1306096920 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 UT · 291721-4405
100 MARIO CAPECCI DR, Slc, UT 84113
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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 Marie Andersen Aprn 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 84113 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Andersen's NPI number?

The NPI number for Molly Andersen is 1306096920. It was assigned to this individual provider in the NPPES registry on September 19, 2008.

Where is Molly Andersen located?

Molly Andersen practices at 100 Mario Capecci Dr, Slc, UT 84113. The listed phone number is (801) 662-1000.

What is Molly Andersen's specialty?

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

Is Molly Andersen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Molly Andersen was last updated on September 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.