MOLLIE ANNE VANDAM FNP-C
NPI 1699433169
Nurse Practitioner - Family in Miamisburg, OH

Q: What is Mollie Vandam's NPI number?

The NPI number for Mollie Vandam is 1699433169. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Q: What is Mollie Vandam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mollie Vandam was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 02, 2021PECOS Enrolled

3333 W TECH RD, MIAMISBURG, OH 45342(937) 641-5725(937) 350-3050 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, Oct 11, 2023, Jul 28, 2023 and 2 more (5 updates tracked since 2021).

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About Mollie Anne Vandam Fnp-c NPPES

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

MOLLIE ANNE VANDAM FNP-C (NPI 1699433169) is an individual family provider in Miamisburg, Ohio, licensed in Ohio (APRN.CNP.0029589) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1699433169

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMOLLIE ANNE VANDAMCredential: FNP-C

Location Address3333 W TECH RDMiamisburg, OH 45342-0955

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129

Phone(937) 641-5725

Fax(937) 350-3050

Sole ProprietorNo

Enumeration DateDecember 2, 2021

Last NPPES UpdateMay 29, 20265 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1699433169 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 OH · APRN.CNP.0029589

3333 W TECH RD, Miamisburg, OH 45342

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Secondary Practice Locations 9

Location 1792 Northwoods BlvdVandalia, OH 45377-9462 · Phone (937) 641-4236 · Fax (937) 641-4237

Location 21711 Germantown PikeDayton, OH 45417 · Phone (937) 641-3142 · Fax (937) 641-4172

Location 33301 Dayton Xenia RdBeavercreek, OH 45432-2758 · Phone (937) 641-5098 · Fax (937) 912-9395

Location 46044 Wilmington PikeDayton, OH 45459-7006 · Phone (937) 641-3270 · Fax (937) 641-6108

Location 51 Childrens PlzDayton, OH 45404-1873 · Phone (937) 641-3600 · Fax (937) 641-5802

Location 68501 Old Troy PikeDayton, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791

Location 7662 N Main StSpringboro, OH 45066-9553 · Phone (937) 641-5066 · Fax (937) 550-9797

Location 84475 Far Hills AveKettering, OH 45429-2405 · Phone (937) 641-3141 · Fax (937) 641-3190

Location 97787 Cox LnWest Chester, OH 45069-6549 · Phone (513) 644-8081 · Fax (513) 847-1192

Other Identifiers 1

Medicaid0469873OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mollie Anne Vandam 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45342 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

MILENA MENCHACA PA

Physician Assistant