MOLLY KIDNER (FNP-BC) – Family Nurse Practitioner, NPI 1083035521

MOLLY KIDNER (FNP-BC) is a healthcare provider. based in Gaylord, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704183474 (MI). The NPI Number for MOLLY KIDNER (FNP-BC) is 1083035521

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY KIDNER (FNP-BC)
NPI
1083035521
Phone
(231) 935-0338
Address
829 N Center Ave Ste 210
Enumeration Date
31 December 2013
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2312587500
Graduation Year
1999 (27 years ago)
PAC ID
5890970479
Group Practice PAC ID
3577536002
Professional Enrollment ID
I20140301000065
Address ID
MI496462503KA419XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MOLLY KIDNER (FNP-BC)

  • 829 N Center Ave Ste 210

    Gaylord, MI 497351599

    Phone: (231) 935-0338

    Fax: (231) 935-0569

    Type: Location

  • 419 S Coral St

    Kalkaska, MI 496462503

    Phone: (231) 258-7777

    Type: Location

  • 4062 W ROYAL DR

    TRAVERSE CITY, MI 496848965

    Phone: (231) 935-0338

    Type: Mailing

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 $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-06-08 • Largest payer in this snapshot: Alkermes, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$26
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: 2014-03-01

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
I20140301000065INurse 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.

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 minutes6434$0
99214Established patient office or other outpatient visit, 30-39 minutes5043$0
90935Hemodialysis procedure with physician evaluation3922$0
99213Established patient office or other outpatient visit, 20-29 minutes2724$0
View full utilization report →

Insurance plans in this area (ZIP 49735)

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Provider's Procedures

MOLLY KIDNER (FNP-BC) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMI90935Hemodialysis procedure with one physician evaluation454111

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: 3577536002View full group profile
NameSpecialtyState
Family PracticeMI
G A S T R O E N T E R O L O G YMI
O T O L A R Y N G O L O G YMI
Physician AssistantMI
Family PracticeMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

What unique ID ties claims to MOLLY KIDNER (FNP-BC)?
NPI 1083035521 is assigned to MOLLY KIDNER (FNP-BC) under the national enumeration system.
Does this profile mean MOLLY KIDNER (FNP-BC) is currently active?
Yes — MOLLY KIDNER (FNP-BC) appears active in the national provider directory.
What field does MOLLY KIDNER (FNP-BC) work in?
You can think of MOLLY KIDNER (FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MOLLY KIDNER (FNP-BC)?
The snapshot lists Gaylord, Michigan for MOLLY KIDNER (FNP-BC); download NPPES for the complete set.
Is MOLLY KIDNER (FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1083035521. Always confirm identity and privileges with the practice and licensing boards.

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