MRS. MOLLIE WALLACE DEAN (CRNP) – Family Nurse Practitioner, NPI 1578057535
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 MRS. MOLLIE WALLACE DEAN (CRNP)
5750A SOUTHLAND DR
MOBILE, AL 366933316
Phone: (251) 450-2211
Fax: (251) 662-7297
Type: Mailing
5800 Southland Dr
Mobile, AL 366933313
Phone: (251) 661-0153
Type: Location
7400 Roper Ln
Daphne, AL 365265274
Phone: (251) 378-6500
Type: Location
6, South Ingleside Street, Fairhope, Baldwin County, Alabama, 36532, United States
FAIRHOPE, AL 365321804
Phone: (251) 990-1740
Fax: (251) 990-1831
Type: Location
150 S INGLESIDE ST STE 6
FAIRHOPE, AL 365321804
Phone: (251) 990-1740
Fax: (251) 990-1831
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 95 Open Payments records for all available years, with a total value of $1,502.
Total Amount is formed as General ($1,502) + Research ($0) + Ownership ($0) = $1,502.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($207).
Total Amount
$1,502
General + Research + Ownership
Payments
95
Total payment records
General Amount
$1,502
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $207 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $162 |
| Novo Nordisk Inc | $154 |
| Organogenesis Inc. | $123 |
| Exact Sciences Corporation | $119 |
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: 2019-05-09
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 |
|---|---|---|---|---|
| I20190509000991 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 222 | 154 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 112 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 59 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 52 | 26 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 28 | 28 | $0 |
Insurance plans in this area (ZIP 36693)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Internal Medicine | AL | |
| Internal Medicine | AL | |
| Internal Medicine | AL |
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