MS. MOLLIE ELIZABETH DWIVEDI (PA) – Physician Assistant, NPI 1710491337
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for MS. MOLLIE ELIZABETH DWIVEDI (PA)
445 Minnesota St
Saint Paul, MN 551012190
Phone: (646) 859-7713
Type: Location
1368, D'Adrian Professional Park, Altamont, Godfrey, Madison County, Illinois, 62035, United States
GODFREY, IL 620351685
Phone: (618) 433-9701
Fax: (618) 433-9706
Type: Mailing
100 CHURCH ST FL 8
NEW YORK, NY 100072614
Phone: (646) 859-7713
Type: Mailing
101 E GREEN ST STE 11
PASADENA, CA 911052069
Phone: (866) 334-3006
Fax: (626) 514-2776
Type: Mailing
660 S EUCLID AVE
CB 8233
SAINT LOUIS, MO 631101010
Phone: (314) 514-3500
Fax: (314) 747-2598
Type: Mailing
1044 N MASON RD
STE 110/210
SAINT LOUIS, MO 631416431
Phone: (314) 514-3500
Fax: (314) 514-3555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240209001190 | I | Physician Assistant | CA | TBD |
| I20240425000768 | I | Physician Assistant | WA | TBD |
| I20250115001370 | I | Physician Assistant | TX | TBD |
| I20250522002148 | I | Physician Assistant | MD | TBD |
| I20250716003652 | I | Physician Assistant | NY | TBD |
| I20260225002843 | I | Physician Assistant | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 26 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 22 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55101)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.