MOLLY MARIE MUCKLEROY – Physician Assistant, NPI 1356169346

MOLLY MARIE MUCKLEROY is a healthcare provider. based in Akron, Ohio. specializing in PHYSICIAN ASSISTANT. The NPI Number for MOLLY MARIE MUCKLEROY is 1356169346

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY MARIE MUCKLEROY
NPI
1356169346
Phone
Not provided
Address
1541 E TURKEYFOOT LAKE RD UNIT 1737
Enumeration Date
30 September 2024
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304942097
Graduation Year
2024 (2 years ago)
PAC ID
5890221444
Group Practice PAC ID
5294712188
Professional Enrollment ID
I20241206000896
Address ID
OH446672291OR830XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MOLLY MARIE MUCKLEROY

  • 1541 E TURKEYFOOT LAKE RD UNIT 1737

    AKRON, OH 443125378

    Phone:

    Type: Mailing

  • 4048 DRESSLER RD NW

    CANTON, OH 447182784

    Phone: (330) 494-2097

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Amneal Pharmaceuticals LLC ($21).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2024-12-06

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
I20241206000896IPhysician AssistantOHTBD

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 44312)

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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: 5294712188View full group profile
NameSpecialtyState
Nurse PractitionerNY
N E U R O L O G YOH
N E U R O L O G YOH
N E U R O L O G YOH
Physical Medicine And RehabilitationOH
N E U R O L O G YOH
Physician AssistantOH
Physician AssistantOH
N E U R O L O G YOH
-OH

Reviews

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Frequently asked questions

Is MOLLY MARIE MUCKLEROY listed with a National Provider Identifier?
Yes — MOLLY MARIE MUCKLEROY has NPI 1356169346 on file in the registry.
Is MOLLY MARIE MUCKLEROY still an active registrant?
MOLLY MARIE MUCKLEROY carries an active NPI according to the public dataset.
What kind of doctor is MOLLY MARIE MUCKLEROY?
MOLLY MARIE MUCKLEROY is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is MOLLY MARIE MUCKLEROY registered?
Use Akron, Ohio as the headline location for MOLLY MARIE MUCKLEROY here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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