MOLLY DEIGNAN MARTIN CNP
NPI 1679314173
Nurse Practitioner - Pediatrics in Minneapolis, MN
About Molly Deignan Martin Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOLLY DEIGNAN MARTIN CNP (NPI 1679314173) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (11635) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Molly Deignan Martin Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Molly Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: University Of Minnesota Physicians
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
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 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Martin's NPI number?
The NPI number for Molly Martin is 1679314173. It was assigned to this individual provider in the NPPES registry on June 6, 2024.
Where is Molly Martin located?
Molly Martin practices at 701 25th Ave S, Minneapolis, MN 55454. The listed phone number is (612) 365-6777.
What is Molly Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Molly Martin enrolled in Medicare?
Yes. Molly Martin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Molly Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Molly Martin reassigns Medicare benefits to 3 organizations: University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN), Fairview Express Care (Minneapolis, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). 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 Martin'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 Molly Martin was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Molly Deignan Martin, CNP · NPI 1679314173
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 6, 2024.
## Identity
- **NPI:** 1679314173 (Entity type: Individual)
- **Enumerated:** June 6, 2024
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 11635 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 25TH AVE S, Minneapolis, MN 55454-1513
- **Phone:** (612) 365-6777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Minnesota Pediatric Dental Clinic (NPI 1992075287, Minneapolis, MN); Fairview Express Care (NPI 1841428745, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679314173) · Data from the CMS NPPES public registry.