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MOLLIE M ATHA NP
NPI 1619697000
Nurse Practitioner - Pediatrics in Indianapolis, IN

Active since August 29, 2022PECOS Enrolled
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-4779 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 3, 2026, Nov 5, 2025, Oct 8, 2025 and 2 more (5 updates tracked since 2022).

About Mollie M Atha Np NPPES

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

MOLLIE M ATHA NP (NPI 1619697000) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71014652A) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619697000
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMOLLIE M ATHACredential: NP
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing Address705 Riley Hospital DrIndianapolis, IN 46202-5109
Phone(317) 274-4779
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 29, 2022
Last NPPES UpdateApril 3, 20265 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1619697000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IN · 71014652A✔ Licensed in IN · 28251850A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28251850A (IN)
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13400 Lafayette Rd Ste 200Indianapolis, IN 46222-1147 · Phone (317) 291-7422
Location 25801 E 30th StIndianapolis, IN 46218-3315 · Phone (317) 291-7422
Location 3702 Barnhill DrIndianapolis, IN 46202-5128 · Phone (317) 944-7010

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 (PECOS)

Mollie M Atha Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688165202
PECOS Enrollment IDI20251112000529
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 Mollie Atha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iu Health Medical Group, LLC
1.3 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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 46202 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.

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.

MOHANNAD MOALLEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 Mollie Atha's NPI number?

The NPI number for Mollie Atha is 1619697000. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Mollie Atha located?

Mollie Atha practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 274-4779.

What is Mollie Atha's specialty?

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

Is Mollie Atha enrolled in Medicare?

Yes. Mollie Atha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mollie Atha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mollie Atha reassigns Medicare benefits to Iu Health Medical Group, LLC (Indianapolis, IN). The 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 Mollie Atha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mollie Atha accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Mollie Atha 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 Mollie Atha was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.