MOLLEY EAGLE (CRNP) – Family Nurse Practitioner, NPI 1346714243
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MOLLEY EAGLE (CRNP)
2505 US HIGHWAY 431
BOAZ, AL 359575908
Phone: (256) 840-3437
Type: Mailing
8914 US HIGHWAY 431
ALBERTVILLE, AL 359500157
Phone: (256) 279-7200
Type: Mailing
1925 W MAIN ST
CENTRE, AL 359602835
Phone: (256) 677-4552
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Boston Scientific Corporation ($37).
Total Amount
$55
General + Research + Ownership
Payments
3
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $37 |
| PFIZER INC. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210318001818 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 519 | 62 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 231 | 55 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 212 | 90 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 147 | 87 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 109 | 93 | $0 |
Insurance plans in this area (ZIP 35957)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice, Preventive Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL |
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