MOLLY ALYSSA MCCLINTOCK
NPI 1831825876
Nurse Practitioner - Family in Versailles, KY

Q: What is Molly Mcclintock's NPI number?

The NPI number for Molly Mcclintock is 1831825876. It was assigned to this individual provider in the NPPES registry on July 30, 2022.

Q: What is Molly Mcclintock'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 Molly Mcclintock was last updated on July 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 30, 2022PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

212 KROGER WAY, VERSAILLES, KY 40383(859) 873-9010 Get Directions Write a Review

NPPES record last updated: July 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Molly Alyssa Mcclintock NPPES

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

MOLLY ALYSSA MCCLINTOCK (NPI 1831825876) is an individual family provider in Versailles, Kentucky, licensed in Kentucky (3014868) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831825876

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMOLLY ALYSSA MCCLINTOCK

Location Address212 KROGER WAYVersailles, KY 40383-1991

Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (615) 425-4200

Phone(859) 873-9010

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 30, 2022

NPPES CertifiedJuly 30, 2022

✔ NPI 1831825876 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 KY · 3014868

Also ListedRegistered NurseTaxonomy 163W00000X · License 371251 (OH), 1156395 (KY)

212 KROGER WAY, Versailles, KY 40383

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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 and accepts Medicare assignment

Molly Alyssa Mcclintock is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426431040

PECOS Enrollment IDI20220815003033

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 Molly Mcclintock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kiosk Medicine Kentucky LLC

51 mi

Family

3039 BRECKENRIDGE LN
Louisville, KY 40220

Reassigned Medicare billing, Kentucky enrollment
488 clinicians in this Medicare group

NPI 1205885035 (502) 451-4555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40383 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

KIMBERLY MENIQUE BENTLEY FNP-BC

Nurse Practitioner (Family)