MOLLY ANN MICKLE FNP
NPI 1962126417
Nurse Practitioner - Family in New York, NY
About Molly Ann Mickle Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOLLY ANN MICKLE FNP (NPI 1962126417) is an individual family provider in New York, New York, licensed in New York (349963) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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 Ann Mickle Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Molly Mickle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 10 clinicians in this Medicare group
Schenectady, NY 12308
- Reassigned Medicare billing, New York enrollment
- 462 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Healthcare
Acute Care Hospitals · Amsterdam, NYEllis Hospital
Acute Care Hospitals · Schenectady, NYNathan Littauer Hospital
Acute Care Hospitals · Gloversville, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Molly Mickle's NPI number?
The NPI number for Molly Mickle is 1962126417. It was assigned to this individual provider in the NPPES registry on September 28, 2022.
Where is Molly Mickle located?
Molly Mickle practices at 165 Broadway Fl 23, New York, NY 10006. The listed phone number is (888) 731-8994.
What is Molly Mickle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Molly Mickle enrolled in Medicare?
Yes. Molly Mickle 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.
Which organizations bill Medicare for Molly Mickle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Molly Mickle reassigns Medicare benefits to 2 organizations: Women's Cancer Care Associates, LLC (Albany, NY) and Ellis Hospital (Schenectady, NY). 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 Molly Mickle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Molly Mickle affiliated with any hospitals?
According to CMS data, Molly Mickle is affiliated with St Mary's Healthcare, Ellis Hospital and Nathan Littauer Hospital.
When was this NPI record last updated?
The NPPES record for Molly Mickle was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Molly Ann Mickle, FNP · NPI 1962126417
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 28, 2022.
## Identity
- **NPI:** 1962126417 (Entity type: Individual)
- **Enumerated:** September 28, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 349963 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 165 BROADWAY FL 23, New York, NY 10006-1452
- **Phone:** (888) 731-8994
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Women's Cancer Care Associates, LLC (NPI 1689713067, Albany, NY); Ellis Hospital (NPI 1487644993, Schenectady, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962126417) · Data from the CMS NPPES public registry.