MOLLY LYN ANDERSON (WHNP-BC) – Nurse Practitioner, NPI 1154866374

MOLLY LYN ANDERSON (WHNP-BC) is a healthcare provider. based in Orland park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials WHNP-BC. They hold a License No. 209015302 (IL). The NPI Number for MOLLY LYN ANDERSON (WHNP-BC) is 1154866374

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY LYN ANDERSON (WHNP-BC)
NPI
1154866374
Phone
(708) 873-7775
Address
10735 W 159th St
Enumeration Date
24 December 2016
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2623714040
Graduation Year
2016 (10 years ago)
PAC ID
3577833839
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20241016000205
Address ID
WI531865934WA1005XDRXX400

Contacts

Secure Messaging
manderson171319@dulyhealthandcare.direct-ci.com
Secure Messaging
manderson409323@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MOLLY LYN ANDERSON (WHNP-BC)

  • 10735 W 159th St

    Orland Park, IL 604674531

    Phone: (708) 873-7775

    Fax: (708) 873-0192

    Type: Location

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606740018

    Phone: (630) 545-6016

    Type: Mailing

  • PO BOX 735044

    CHICAGO, IL 606735044

    Phone: (800) 326-2250

    Type: Mailing

  • 1005 SPRING CITY DR

    WAUKESHA, WI 531865934

    Phone: (262) 301-2020

    Type: Location

  • 10735, West 159th Street, Orland Park, Orland Township, Cook County, Illinois, 60467, United States

    ORLAND PARK, IL 604674531

    Phone: (708) 873-7775

    Fax: (708) 873-0192

    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 $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Exeltis, USA Inc. ($34).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-16

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
I20241016000205INurse PractitionerWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2222$0
View full utilization report →

Insurance plans in this area (ZIP 60467)

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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: 6709794258View full group profile

Reviews

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Frequently asked questions

How do I look up MOLLY LYN ANDERSON (WHNP-BC) by NPI?
Use NPI 1154866374 when you need to reference MOLLY LYN ANDERSON (WHNP-BC) in forms, claims, or directories.
Is MOLLY LYN ANDERSON (WHNP-BC) currently active in the NPI registry?
CMS-published data lists MOLLY LYN ANDERSON (WHNP-BC) as an active registrant.
What field does MOLLY LYN ANDERSON (WHNP-BC) work in?
You can think of MOLLY LYN ANDERSON (WHNP-BC) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MOLLY LYN ANDERSON (WHNP-BC)?
The page summarizes Orland Park, Illinois for MOLLY LYN ANDERSON (WHNP-BC); expand the address list for detail.
What if Orland Park, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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