MOLLY SULLIVAN BYLSMA (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1164813838

MOLLY SULLIVAN BYLSMA (AGPCNP-BC) is a healthcare provider. based in Bowling green, Kentucky. specializing in Gerontology Nurse Practitioner. They hold the professional credentials AGPCNP-BC. They hold a License No. 3012205 (KY). The NPI Number for MOLLY SULLIVAN BYLSMA (AGPCNP-BC) is 1164813838

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY SULLIVAN BYLSMA (AGPCNP-BC)
NPI
1164813838
Phone
(270) 563-3000
Address
201 PARK ST
Enumeration Date
16 February 2015
Last Update Date
7 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705633000
Graduation Year
2014 (12 years ago)
PAC ID
0446571020
Group Practice PAC ID
4082511167
Professional Enrollment ID
I20180615002373
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MOLLY SULLIVAN BYLSMA (AGPCNP-BC)

  • 201 PARK ST

    BOWLING GREEN, KY 421011759

    Phone: (270) 563-3000

    Fax: (270) 783-3753

    Type: Mailing

  • 121 COLLEGE ST.

    SMITHS GROVE, KY 42171

    Phone: (270) 563-3000

    Fax: (270) 783-3753

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Novo Nordisk Inc ($167).

Total Amount

$254

General + Research + Ownership

Payments

14

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2015-06-08

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
I20150608002121INurse PractitionerMITBD

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 42101)

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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: 4082511167View full group profile

Reviews

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Frequently asked questions

Where can patients find MOLLY SULLIVAN BYLSMA (AGPCNP-BC)'s NPI?
You can confirm MOLLY SULLIVAN BYLSMA (AGPCNP-BC) with NPI 1164813838; it appears in the national provider directory.
Does this profile mean MOLLY SULLIVAN BYLSMA (AGPCNP-BC) is currently active?
Yes — MOLLY SULLIVAN BYLSMA (AGPCNP-BC) appears active in the national provider directory.
Does MOLLY SULLIVAN BYLSMA (AGPCNP-BC) list a primary specialty?
If you are matching referrals, note Gerontology Nurse Practitioner for MOLLY SULLIVAN BYLSMA (AGPCNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for MOLLY SULLIVAN BYLSMA (AGPCNP-BC)?
The page summarizes Bowling Green, Kentucky for MOLLY SULLIVAN BYLSMA (AGPCNP-BC); expand the address list for detail.
Is MOLLY SULLIVAN BYLSMA (AGPCNP-BC) a real provider?
This page reflects official NPPES data for NPI 1164813838. Always confirm identity and privileges with the practice and licensing boards.

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