Stacey Michelle Molle, CNS FNP PMHNP - Medicare Nurse Practitioner in Columbus, OH

Stacey Michelle Molle, CNS FNP PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Columbus, Ohio. Her current practice location is 200 East Campusview Blvd Suite 200, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 664-8880.

Stacey Michelle Molle is licensed to practice in Ohio (license number 020975) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902041395.

Contact Information

Stacey Michelle Molle, CNS FNP PMHNP
200 East Campusview Blvd Suite 200,
Columbus, OH 43235
(614) 664-8880
Not Available

Map and Direction




Provider's Profile

Full NameStacey Michelle Molle
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location200 East Campusview Blvd Suite 200, Columbus, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902041395
  • Provider Enumeration Date: 12/13/2008
  • Last Update Date: 03/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7618192113
  • Enrollment ID: I20170914000834

Medical Identifiers

Medical identifiers for Stacey Michelle Molle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902041395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 327159 (Ohio)Secondary
363LF0000XNurse Practitioner - Family APRN.CNP.020975 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 020975 (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacey Michelle Molle allows following entities to bill medicare on her behalf.
Entity NameCentral Ohio Primary Care Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194705194
PECOS PAC ID: 2769383785
Enrollment ID: O20040114000204
Entity NameMdwatch Medical Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548842370
PECOS PAC ID: 3870992670
Enrollment ID: O20210608002243

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Michelle Molle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey Michelle Molle, CNS FNP PMHNP
7385 State Route 3 # 1050,
Westerville, OH 43082-8654

Ph: (614) 664-8880
Stacey Michelle Molle, CNS FNP PMHNP
200 East Campusview Blvd Suite 200,
Columbus, OH 43235

Ph: (614) 664-8880

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.