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KELLEY MOLLOR FNP-C
NPI 1629436597
Nurse Practitioner - Family in Cheshire, CT

Active since February 05, 2016PECOS Enrolled
677 S MAIN ST, CHESHIRE, CT 06410(203) 272-2248 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2017, Sep 28, 2016, Aug 8, 2016 and 1 more (4 updates tracked since 2016).

About Kelley Mollor Fnp-c NPPES

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

KELLEY MOLLOR FNP-C (NPI 1629436597) is an individual family provider in Cheshire, Connecticut, licensed in Connecticut (6615) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629436597
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY MOLLORCredential: FNP-C
Location Address677 S MAIN STCheshire, CT 06410-3158
Mailing Address677 S Main StCheshire, CT 06410-3158
Phone(203) 272-2248
Sole ProprietorNo
Enumeration DateFebruary 5, 2016
Last NPPES UpdateMarch 24, 20174 updates tracked since enumeration
✔ NPI 1629436597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 6615
Also ListedRegistered NurseTaxonomy 163W00000X · License 133802 (CT)
677 S MAIN ST, Cheshire, CT 06410
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Mollor Fnp-c 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

2

Medicare enrollment records show Kelley Mollor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mill Hill Medical Consultants Inc
13 mi
Geriatric Medicine
874 HOWARD AVE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
NPI 1891019675 (203) 688-8200
Hartford Healthcare Medical Group, Inc
19 mi
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
NPI 1043561301 (860) 972-9033

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 06410 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 11

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

JULIA MICHELLE GAISER RDN
Dietitian, Registered
677 S MAIN ST
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 479-9047
DR. JEANNETTE CHINCHILLA M.D.
Pediatrics
677 S MAIN ST
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 272-2382
CHESHIRE DERMATOLOGY PLLC
Dermatology
677 S MAIN ST
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 250-7577
COMPREHENSIVE PAIN CLINIC PC
Pain Medicine (Interventional Pain Medicine)
677 S MAIN ST
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 699-8880
ANTANINA BELZER
Dietitian, Registered
677 S MAIN ST
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 479-9047
DR. BRIAN C COHEN D.O.
Internal Medicine
677 S MAIN ST
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 272-2248
DAVID STAIR MD
Internal Medicine
677 S MAIN ST
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 272-2248
DR. DANA M CORREALE M.D.
Dermatology
677 S MAIN ST
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 250-7577

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 Kelley Mollor's NPI number?

The NPI number for Kelley Mollor is 1629436597. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Where is Kelley Mollor located?

Kelley Mollor practices at 677 S Main St, Cheshire, CT 06410. The listed phone number is (203) 272-2248.

What is Kelley Mollor's specialty?

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

Is Kelley Mollor enrolled in Medicare?

Yes. Kelley Mollor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelley Mollor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Mollor reassigns Medicare benefits to 2 organizations: Mill Hill Medical Consultants Inc (New Haven, CT) and Hartford Healthcare Medical Group, Inc (Wethersfield, CT). 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 Kelley Mollor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelley Mollor was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.