SUE ELLEN MOLLNER (MD) – Family Medicine Physician, NPI 1699732289

SUE ELLEN MOLLNER (MD) is a healthcare provider. based in Duluth, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 45582 (MN). The NPI Number for SUE ELLEN MOLLNER (MD) is 1699732289

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SUE ELLEN MOLLNER (MD)
NPI
1699732289
Phone
(218) 786-8364
Address
SSB-6
Enumeration Date
27 April 2006
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187868364
Graduation Year
2001 (25 years ago)
PAC ID
6709843568
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20041213000949
Address ID
MN558051951DU400XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

Provider Addresses for SUE ELLEN MOLLNER (MD)

  • SSB-6

    400 E 3RD ST

    DULUTH, MN 558051951

    Phone: (218) 786-8364

    Type: Mailing

  • 400 E 3RD ST

    DULUTH, MN 558051951

    Phone: (218) 786-8364

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 1st Street West, Hastings, Dakota County, Minnesota, 55033, United States

    HASTINGS, MN 550331147

    Phone: (651) 438-1800

    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: 2022-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041213000949IFamily PracticeMNTBD
I20220308001958IFamily PracticeWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8236$0
99215Established patient office or other outpatient visit, 40-54 minutes2315$0
99205New patient office or other outpatient visit, 60-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

What is the registry number for SUE ELLEN MOLLNER (MD)?
The registry entry for SUE ELLEN MOLLNER (MD) shows NPI 1699732289.
Is SUE ELLEN MOLLNER (MD) currently accepting referrals based on NPI status?
Registry metadata lists SUE ELLEN MOLLNER (MD) as active.
What type of care does SUE ELLEN MOLLNER (MD) provide?
SUE ELLEN MOLLNER (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SUE ELLEN MOLLNER (MD)?
The directory associates SUE ELLEN MOLLNER (MD) with Duluth, Minnesota. 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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