1. Home
  2. Directory
  3. New York
  4. Latham
  5. Nurse Practitioner
  6. NPI Profile

SUSAN LYNN MOLLARD NP
NPI 1790986370
Nurse Practitioner - Obstetrics & Gynecology in Latham, NY

Active since May 30, 2007PECOS Enrolled
585 NEW LOUDON ROAD, LATHAM, NY 12110(518) 783-1472(518) 783-1605 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan Lynn Mollard Np NPPES

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

SUSAN LYNN MOLLARD NP (NPI 1790986370) is an individual obstetrics & gynecology provider in Latham, New York, licensed in New York (F360097) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790986370
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameSUSAN LYNN MOLLARDCredential: NP
Location Address585 NEW LOUDON ROADLatham, NY 12110
Mailing Address585 New Loudon RoadLatham, NY 12110 · (518) 783-1472 · Fax (518) 783-1605
Phone(518) 783-1472
Fax(518) 783-1605
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790986370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in NY · F360097
585 NEW LOUDON ROAD, Latham, NY 12110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Lynn Mollard Np 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 Reassignment

Medicare enrollment records show Susan Mollard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

W Bruce Clark MD PC
1.7 mi
Obstetrics & Gynecology
585 NEW LOUDON RD
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
NPI 1396959110 (518) 783-1472

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 12110 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

ELLEN E GALLAGHER NP
Nurse Practitioner (Women's Health)
585 NEW LOUDON ROAD
LATHAM, NY 12110
Albany County (518) 783-1472
ROBYN RUTKIEWICZ
Nurse Practitioner (Obstetrics & Gynecology)
585 NEW LOUDON ROAD
LATHAM, NY 12110
Albany County (518) 783-1472
DEBRA B RAPPAZZO NP
Nurse Practitioner (Obstetrics & Gynecology)
585 NEW LOUDON ROAD
LATHAM, NY 12110
Albany County (518) 783-1472
KRISTINE ANN KLEIN MD
Obstetrics & Gynecology
585 NEW LOUDON ROAD
LATHAM, NY 12110
Albany County (518) 783-1472

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 Susan Mollard's NPI number?

The NPI number for Susan Mollard is 1790986370. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Susan Mollard located?

Susan Mollard practices at 585 New Loudon Road, Latham, NY 12110. The listed phone number is (518) 783-1472.

What is Susan Mollard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Susan Mollard enrolled in Medicare?

Yes. Susan Mollard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Mollard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mollard reassigns Medicare benefits to W Bruce Clark MD PC (Latham, NY). 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 Susan Mollard'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 Susan Mollard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.