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MOLLY J OMOHUNDRO APRN
NPI 1366956963
Nurse Practitioner - Family in Jefferson City, MO

Active since November 20, 2017PECOS Enrolled
3605 COUNTRY CLUB DR, JEFFERSON CITY, MO 65109(573) 634-4878(573) 636-3045 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2019, Nov 20, 2017 (2 updates tracked since 2017).

About Molly J Omohundro Aprn NPPES

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

MOLLY J OMOHUNDRO APRN (NPI 1366956963) is an individual family provider in Jefferson City, Missouri, licensed in Missouri (2017043235) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1366956963
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMOLLY J OMOHUNDROCredential: APRN
Location Address3605 COUNTRY CLUB DRJefferson City, MO 65109-1070
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240 · (573) 635-5264
Phone(573) 634-4878
Fax(573) 636-3045
Sole ProprietorNo
Enumeration DateNovember 20, 2017
Last NPPES UpdateJune 28, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
✔ NPI 1366956963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2017043235
3605 COUNTRY CLUB DR, Jefferson City, MO 65109
Open in Google Maps ↗

Secondary Practice Location 1

Location 1One Hospital DrColumbia, MO 65212-0001 · Phone (573) 882-8091 · Fax (573) 884-1902

Other Identifiers 1

Medicaid420050202MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly J Omohundro 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Molly Omohundro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Curators Of The University Of Missouri
25 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141
Liberty Hospital Emergency Medicine Physicians, LLC
126 mi
Emergency Medicine
2525 GLENN HENDREN DR
Liberty, MO 64068
  • Reassigned Medicare billing, Missouri enrollment
  • 30 clinicians in this Medicare group
NPI 1336646736 (816) 792-7000
Shawnee Mission Medical Center, Inc.
136 mi
Urgent Care
11245 SHAWNEE MISSION PARKWAY
Shawnee, KS 66203
  • Reassigned Medicare billing, Kansas enrollment
  • 61 clinicians in this Medicare group
NPI 1942317854 (913) 268-4455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

ROBYN ELLEN POWERS FNP
Nurse Practitioner (Family)
3605 COUNTRY CLUB DR
JEFFERSON CITY, MO 65109
Cole County (573) 634-4878
DR. THOMAS D. ROBBINS M.D.
Family Medicine
3605 COUNTRY CLUB DR
JEFFERSON CITY, MO 65109
Cole County (573) 635-5264

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 Omohundro's NPI number?

The NPI number for Molly Omohundro is 1366956963. It was assigned to this individual provider in the NPPES registry on November 20, 2017.

Where is Molly Omohundro located?

Molly Omohundro practices at 3605 Country Club Dr, Jefferson City, MO 65109. The listed phone number is (573) 634-4878.

What is Molly Omohundro's specialty?

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

Is Molly Omohundro enrolled in Medicare?

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

Which organizations bill Medicare for Molly Omohundro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Omohundro reassigns Medicare benefits to 3 organizations: The Curators Of The University Of Missouri (Columbia, MO), Liberty Hospital Emergency Medicine Physicians, LLC (Liberty, MO) and Shawnee Mission Medical Center, Inc. (Shawnee, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Molly Omohundro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Molly Omohundro accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Molly Omohundro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Molly Omohundro was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.