MOLLANA CARSON PURDY (AUD) – Audiologist, NPI 1194989020

MOLLANA CARSON PURDY (AUD) is a healthcare provider. based in Golden valley, Minnesota. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 8346 (MN). The NPI Number for MOLLANA CARSON PURDY (AUD) is 1194989020

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MOLLANA CARSON PURDY (AUD)
NPI
1194989020
Phone
(763) 233-5755
Address
8301 GOLDEN VALLEY RD STE 200
Enumeration Date
10 July 2008
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632335755
Graduation Year
2009 (17 years ago)
PAC ID
9931259298
Group Practice PAC ID
9133209802
Professional Enrollment ID
I20090608000198
Address ID
MN553694772MA9825XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

264 QUALIFIED AUDIOLOGIST in MN

Provider Addresses for MOLLANA CARSON PURDY (AUD)

  • 8301 GOLDEN VALLEY RD STE 200

    GOLDEN VALLEY, MN 554274475

    Phone: (763) 233-5755

    Fax: (763) 233-5782

    Type: Mailing

  • Oakdale Medical Building, 3366, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States

    SUITE 150

    ROBBINSDALE, MN 554222948

    Phone: (763) 233-5755

    Fax: (763) 233-5782

    Type: Mailing

  • 3366 Oakdale Ave N

    Suite 150

    Robbinsdale, MN 554222948

    Phone: (763) 233-5755

    Fax: (763) 233-5782

    Type: Location

  • 8301 Golden Valley Rd Ste 200

    Golden Valley, MN 554274475

    Phone: (763) 233-5755

    Fax: (763) 233-5782

    Type: Location

  • 9825 HOSPITAL DR STE 203

    MAPLE GROVE, MN 553694772

    Phone: (763) 233-5755

    Type: Location

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: 2009-06-08

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
I20090608000198IQualified AudiologistMNTBD

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
92557Comprehensive hearing and speech recognition test103101$0
92567Test to assess middle ear function10196$0
View full utilization report →

Insurance plans in this area (ZIP 55427)

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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: 9133209802View full group profile
NameSpecialtyState
Qualified AudiologistMN
O T O L A R Y N G O L O G YMN
Qualified AudiologistVA
Physician AssistantMN
O T O L A R Y N G O L O G YMN
Qualified AudiologistMN
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive SurgeryMN
Physician AssistantMN
O T O L A R Y N G O L O G YMN
O T O L A R Y N G O L O G YMN

Reviews

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Frequently asked questions

Does MOLLANA CARSON PURDY (AUD) have a public NPI I can cite?
Public records show MOLLANA CARSON PURDY (AUD) under NPI 1194989020.
Should I treat MOLLANA CARSON PURDY (AUD) as an active provider?
Patients and plans typically see MOLLANA CARSON PURDY (AUD) as active in the national extract.
Which specialty label fits MOLLANA CARSON PURDY (AUD)?
NPPES ties MOLLANA CARSON PURDY (AUD) to Audiologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MOLLANA CARSON PURDY (AUD)?
MOLLANA CARSON PURDY (AUD) shows a connection to Golden Valley, Minnesota in registry-derived data.
Can I export MOLLANA CARSON PURDY (AUD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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