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MRS. MOLLY MORGAN SMITH FNP
NPI 1619625019
Nurse Practitioner in Bourbonnais, IL

Active since March 15, 2022PECOS Enrolled
2070 IL-50 #500, BOURBONNAIS, IL 60914(779) 236-4094 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Molly Morgan Smith Fnp NPPES

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

MRS. MOLLY MORGAN SMITH FNP (NPI 1619625019) is an individual nurse practitioner in Bourbonnais, Illinois, licensed in Illinois (041427975) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619625019
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MOLLY MORGAN SMITHCredential: FNP
Location Address2070 IL-50 #500Bourbonnais, IL 60914
Mailing Address779 W Adams StChicago, IL 60661-3509 · (779) 236-4094
Phone(779) 236-4094
Sole ProprietorNo
Enumeration DateMarch 15, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1619625019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 041427975
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Molly Morgan Smith Fnp 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 60914 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

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

LORNA SIEGER FNP
Nurse Practitioner (Family)
2070 IL-50 #500
BOURBONNAIS, IL 60914
Kankakee County (779) 236-4094

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 Smith's NPI number?

The NPI number for Molly Smith is 1619625019. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Molly Smith located?

Molly Smith practices at 2070 Il-50 #500, Bourbonnais, IL 60914. The listed phone number is (779) 236-4094.

What is Molly Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Molly Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Molly Smith was last updated on March 15, 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.