ELISE MARIE MOLNAR – Student in an Organized Health Care Education/Training Program, NPI 1023646643

ELISE MARIE MOLNAR is a healthcare provider. based in Newport beach, California. specializing in EMERGENCY MEDICINE. The NPI Number for ELISE MARIE MOLNAR is 1023646643

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ELISE MARIE MOLNAR
NPI
1023646643
Phone
(949) 375-0857
Address
1712 PORT WESTBOURNE PL
Enumeration Date
30 March 2020
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
7146339111
Graduation Year
2020 (6 years ago)
PAC ID
3971040874
Group Practice PAC ID
0840185005
Professional Enrollment ID
I20240808001990
Address ID
CA926683849OR1100XDRXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness95
Years active:6State licenses:0Other names

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for ELISE MARIE MOLNAR

  • 1712 PORT WESTBOURNE PL

    NEWPORT BEACH, CA 926605330

    Phone: (949) 375-0857

    Type: Mailing

  • 1000 W CARSON ST

    TORRANCE, CA 905022004

    Phone: (310) 222-2345

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240808001990IEmergency MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840185005View full group profile
NameSpecialtyState
Emergency MedicineOR
-CA
Emergency MedicineMO
Pediatric MedicineMI
-CA
Pediatric Medicine, Emergency MedicineCA
Emergency MedicineCA
Pediatric MedicineCA
Emergency MedicineCA
Pediatric MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to ELISE MARIE MOLNAR?
The federal identifier for ELISE MARIE MOLNAR is NPI 1023646643.
Is ELISE MARIE MOLNAR's NPI currently valid?
The extract we use shows ELISE MARIE MOLNAR as active.
What kind of provider is ELISE MARIE MOLNAR?
The page reflects Student in an Organized Health Care Education/Training Program for ELISE MARIE MOLNAR. Clinical services aligned with this taxonomy classification.
What location shows for ELISE MARIE MOLNAR?
We surface Newport Beach, California for ELISE MARIE MOLNAR based on available NPPES addresses.
Is ELISE MARIE MOLNAR a real provider?
This page reflects official NPPES data for NPI 1023646643. Always confirm identity and privileges with the practice and licensing boards.

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