MOLLY ANN MICKLE FNP
NPI 1962126417
Nurse Practitioner - Family in New York, NY

Q: 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.

Q: What is Molly Mickle'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 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 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.

Active since September 28, 2022PECOS EnrolledAccepts Medicare Assignment

165 BROADWAY FL 23, NEW YORK, NY 10006(888) 731-8994 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2023, Sep 28, 2022 (2 updates tracked since 2022).

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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

NPI1962126417

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMOLLY ANN MICKLECredential: FNP

Location Address165 BROADWAY FL 23New York, NY 10006-1452

Mailing Address165 Broadway Fl 23New York, NY 10006-1452 · (888) 731-8994

Phone(888) 731-8994

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 28, 2022

Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2026

✔ NPI 1962126417 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 NY · 349963

165 BROADWAY FL 23, New York, NY 10006

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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

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.

PECOS PAC ID6002040839

PECOS Enrollment IDI20230405000639

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 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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

12 services12 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

11 services11 patients

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, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330047

Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County

Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330153

Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County

Emergency services Birthing friendly

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330276

Location99 East State StreetGloversville, NY 12078 · Fulton County

Emergency services Birthing friendly

Physician 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.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

CASSANDRA STARK

Nurse Practitioner (Women's Health)