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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 9

Location 1792 Northwoods BlvdVandalia, OH 45377-9462 · Phone (937) 641-4236 · Fax (937) 641-4237
Location 27787 Cox LnWest Chester, OH 45069-6549 · Phone (513) 644-8081 · Fax (513) 847-1192
Location 31711 Germantown PikeDayton, OH 45417 · Phone (937) 641-3142 · Fax (937) 641-4172
Location 48501 Old Troy PikeDayton, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791
Location 56044 Wilmington PikeDayton, OH 45459-7006 · Phone (937) 641-3270 · Fax (937) 641-6108
Location 61 Childrens PlzDayton, OH 45404-1873 · Phone (937) 641-3600 · Fax (937) 641-5802
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 93301 Dayton Xenia RdBeavercreek, OH 45432-2758 · Phone (937) 641-5098 · Fax (937) 912-9395

Other Identifiers 1

Medicaid0469873OH

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 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.

Medicare Billing Reassignments

2

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

Dayton Children's Hospital
Same address
Urgent Care
3333 W TECH RD
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Hospital
  • 165 clinicians in this Medicare group
NPI 1730392309 (937) 641-5725
Dayton Children's Specialty Physicians, Inc.
13 mi
Pediatrics
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
  • 479 clinicians in this Medicare group
NPI 1225192610 (937) 641-4000

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 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
3333 W TECH RD
MIAMISBURG, OH 45342
Montgomery County (376) 415-7259
DR. ROBERTA ANN DILEGO MD
Pediatrics
3333 W TECH RD
MIAMISBURG, OH 45342
Montgomery County (937) 641-5725
MR. SETH T KIDWELL MSN, FNP-BC
Nurse Practitioner (Family)
3333 W TECH RD
MIAMISBURG, OH 45342
Montgomery County (937) 641-4000
MICHAEL WEN DO
Pediatrics
3333 W TECH RD
MIAMISBURG, OH 45342
Montgomery County (937) 641-5725
MISS DANIELLE LEE FISCHER PA
Physician Assistant
3333 W TECH RD
MIAMISBURG, OH 45342
Montgomery County (937) 641-4000
BETH ANN PATTEN FNP
Nurse Practitioner (Family)
3333 W TECH RD
MIAMISBURG, OH 45342
Montgomery County (937) 641-5725
HARPINDER KAUR KALRA MD
Pediatrics (Pediatric Allergy/Immunology)
3333 W TECH RD
MIAMISBURG, OH 45342
Montgomery County (937) 641-4000
LILY OWUSUA HARMON FNP
Nurse Practitioner (Family)
3333 W TECH RD
MIAMISBURG, OH 45342
Montgomery County (937) 641-5725

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 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.

Where is Mollie Vandam located?

Mollie Vandam practices at 3333 W Tech Rd, Miamisburg, OH 45342. The listed phone number is (937) 641-5725.

What is Mollie Vandam's specialty?

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

Is Mollie Vandam enrolled in Medicare?

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

Which organizations bill Medicare for Mollie Vandam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mollie Vandam reassigns Medicare benefits to 2 organizations: Dayton Children's Hospital (Miamisburg, OH) and Dayton Children's Specialty Physicians, Inc. (Dayton, OH). 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 Mollie Vandam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mollie Vandam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Mollie Vandam 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 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 5 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.