ANNE KATHERINE MOLLOY (APRN) – Adult Health Nurse Practitioner, NPI 1205145299

ANNE KATHERINE MOLLOY (APRN) is a healthcare provider. based in Park ridge, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 404564 (NY). The NPI Number for ANNE KATHERINE MOLLOY (APRN) is 1205145299

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ANNE KATHERINE MOLLOY (APRN)
NPI
1205145299
Phone
(847) 723-6081
Address
MEDICAL STAFF OFFICE AT LUTHERAN GENERAL
Enumeration Date
25 September 2010
Last Update Date
5 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6316328850
Graduation Year
2010 (16 years ago)
PAC ID
8628358132
Group Practice PAC ID
7315836731
Professional Enrollment ID
I20221114002655
Address ID
NY117948790ST169XXHALL301

Contacts

Secure Messaging
anne.molloy@stonybrookmedicine.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ANNE KATHERINE MOLLOY (APRN)

  • MEDICAL STAFF OFFICE AT LUTHERAN GENERAL

    1775 DEMPSTER STREET

    PARK RIDGE, IL 60068

    Phone: (847) 723-6081

    Type: Mailing

  • 1775 DEMPSTER STREET

    PARK RIDGE, IL 60068

    Phone: (847) 723-6081

    Type: Location

  • 4711 GOLF RD

    SUITE 1250

    SKOKIE, IL 600761224

    Phone: (224) 251-8587

    Type: Mailing

  • 101 NICOLLS RD # HSCT10

    STONY BROOK, NY 117940001

    Phone: (631) 632-9510

    Type: Mailing

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: 2022-11-14

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
I20221114002655INurse PractitionerNYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes210100$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4631$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2118$0
90791Psychiatric diagnostic evaluation1414$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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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: 7315836731View full group profile

Reviews

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Frequently asked questions

What number should I use to identify ANNE KATHERINE MOLLOY (APRN) for billing?
Administrative and clinical systems typically use NPI 1205145299 for ANNE KATHERINE MOLLOY (APRN).
Should I treat ANNE KATHERINE MOLLOY (APRN) as an active provider?
Patients and plans typically see ANNE KATHERINE MOLLOY (APRN) as active in the national extract.
What does the directory say ANNE KATHERINE MOLLOY (APRN) does?
Insurance directories may phrase it differently, but here ANNE KATHERINE MOLLOY (APRN) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to ANNE KATHERINE MOLLOY (APRN)?
The directory associates ANNE KATHERINE MOLLOY (APRN) with Park Ridge, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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