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MOLLIE MCGUIRE CRNP
NPI 1922573435
Nurse Practitioner - Primary Care in Johnstown, PA

Active since October 11, 2018PECOS EnrolledAccepts Medicare Assignment
1111 FRANKLIN ST STE 140, JOHNSTOWN, PA 15905(814) 534-9000 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 9, 2022, Oct 11, 2018 (2 updates tracked since 2018).

About Mollie Mcguire Crnp NPPES

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

MOLLIE MCGUIRE CRNP (NPI 1922573435) is an individual primary care provider in Johnstown, Pennsylvania, licensed in Pennsylvania (SP019402) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1922573435
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMOLLIE MCGUIRECredential: CRNP
Location Address1111 FRANKLIN ST STE 140Johnstown, PA 15905-4340
Mailing Address1111 Franklin St Ste 140Johnstown, PA 15905-4340 · (814) 534-3740
Phone(814) 534-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 11, 2018
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1922573435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in PA · SP019402
1111 FRANKLIN ST STE 140, Johnstown, PA 15905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mollie Mcguire Crnp 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 ID6406109644
PECOS Enrollment IDI20181105002906
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.

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims61 services$2.33 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier27 claims27 services$908.33 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$5.99 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers39 claims40 services$34.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers31 claims31 services$99.72 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DAPHNE BREE GALLUCCI CRNP
Nurse Practitioner
1111 FRANKLIN ST STE 140
JOHNSTOWN, PA 15905
Cambria County (814) 534-3740
MOHAMED IMAD SAAD ELDIN MD
Internal Medicine (Pulmonary Disease)
1111 FRANKLIN ST STE 140
JOHNSTOWN, PA 15905
Cambria County (814) 534-3740
MUHAMMAD IMTIAZ M.D.
Internal Medicine (Pulmonary Disease)
1111 FRANKLIN ST STE 140
JOHNSTOWN, PA 15905
Cambria County (814) 534-3740

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 Mcguire's NPI number?

The NPI number for Mollie Mcguire is 1922573435. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Mollie Mcguire located?

Mollie Mcguire practices at 1111 Franklin St Ste 140, Johnstown, PA 15905. The listed phone number is (814) 534-9000.

What is Mollie Mcguire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mollie Mcguire enrolled in Medicare?

Yes. Mollie Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mollie Mcguire accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mollie Mcguire 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.

Is Mollie Mcguire affiliated with any hospitals?

According to CMS data, Mollie Mcguire is affiliated with Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Mollie Mcguire was last updated on March 9, 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.