MR. JEROME MARK MOLSTAD – Physician Assistant, NPI 1578500286

MR. JEROME MARK MOLSTAD is a healthcare provider. based in Atwood, Kansas. specializing in PHYSICIAN ASSISTANT. They hold a License No. 15-00204 (KS). The NPI Number for MR. JEROME MARK MOLSTAD is 1578500286

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEROME MARK MOLSTAD
NPI
1578500286
Phone
(785) 626-3241
Address
707 Grant St
Enumeration Date
1 June 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
7618024878
Group Practice PAC ID
0648181768
Professional Enrollment ID
I20090406000419
Address ID
KS676541406NO102XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for MR. JEROME MARK MOLSTAD

  • 707 Grant St

    Atwood, KS 677301526

    Phone: (785) 626-3241

    Fax: (785) 626-3188

    Type: Location

  • 416 W 7TH

    PO BOX 8

    LACROSSE, KS 67548

    Phone: (785) 626-2626

    Type: Mailing

  • West 1st Street, St. Francis, Cheyenne County, Kansas, 67756, United States

    SAINT FRANCIS, KS 677563540

    Phone: (785) 332-2104

    Fax: (785) 332-3255

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: CSL Behring ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$31
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: 2009-04-06

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
I20090406000419IPhysician AssistantKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes121102$0
99214Established patient office or other outpatient visit, 30-39 minutes7063$0
99284Emergency department visit with moderate level of medical decision making5852$0
81003Automated urinalysis test2622$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1816$0
View full utilization report →

Insurance plans in this area (ZIP 67730)

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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: 0648181768View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS
Physician AssistantKS
Physician AssistantKS
-CO
Physician AssistantKS

Reviews

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Frequently asked questions

Is there an official ID for MR. JEROME MARK MOLSTAD in U.S. healthcare records?
The official identifier for MR. JEROME MARK MOLSTAD is NPI 1578500286.
Is there an active status for MR. JEROME MARK MOLSTAD?
For scheduling context, MR. JEROME MARK MOLSTAD is shown as active in the registry.
How would a patient describe MR. JEROME MARK MOLSTAD's focus?
For MR. JEROME MARK MOLSTAD, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. JEROME MARK MOLSTAD?
Travel planning: use Atwood, Kansas as the reference point for MR. JEROME MARK MOLSTAD, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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