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MOLLY COOGAN
NPI 1366232456
Physician Assistant - Medical in Pawtucket, RI

Active since May 12, 2025PECOS Enrolled
333 SCHOOL ST STE 112A, PAWTUCKET, RI 02860(401) 692-8643 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, May 12, 2025 (2 updates tracked since 2025).

About Molly Coogan NPPES

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

MOLLY COOGAN (NPI 1366232456) is an individual medical provider in Pawtucket, Rhode Island, licensed in Rhode Island (PA01814) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366232456
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMOLLY COOGAN
Location Address333 SCHOOL ST STE 112APawtucket, RI 02860-5336
Mailing Address10 Hunt DrBarrington, RI 02806-1560
Phone(401) 692-8643
Sole ProprietorYes
Enumeration DateMay 12, 2025
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1366232456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in RI · PA01814
333 SCHOOL ST STE 112A, Pawtucket, RI 02860
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Coogan 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.

Other Providers at the Same Location NPPES 2

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

KATHRYN ELIZABETH WISNEWSKI PA
Physician Assistant
333 SCHOOL ST STE 112A
PAWTUCKET, RI 02860
Providence County (401) 728-6990
MS. MAEVE RIANE TOBIN PA-C
Physician Assistant
333 SCHOOL ST STE 112A
PAWTUCKET, RI 02860
Providence County (401) 728-6990

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 Coogan's NPI number?

The NPI number for Molly Coogan is 1366232456. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Molly Coogan located?

Molly Coogan practices at 333 School St Ste 112A, Pawtucket, RI 02860. The listed phone number is (401) 692-8643.

What is Molly Coogan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Molly Coogan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Molly Coogan was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.