DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609631209

DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, PMHNP-BC. They hold a License No. 218671 (OK). The NPI Number for DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) is 1609631209

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC)
NPI
1609631209
Phone
(318) 754-5754
Address
4657 S WINSTON AVE
Enumeration Date
14 February 2024
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3039281051
Graduation Year
2024 (2 years ago)
PAC ID
1850824863
Group Practice PAC ID
6507211075
Professional Enrollment ID
I20251029004294
Address ID
CO805252297FO2601XAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC)

  • 4657 S WINSTON AVE

    TULSA, OK 741353215

    Phone: (318) 754-5754

    Type: Mailing

  • 1402 N FLORENCE AVE STE B

    CLAREMORE, OK 740173159

    Phone: (918) 608-0380

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $468.

Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($248).

Total Amount

$468

General + Research + Ownership

Payments

10

Total payment records

General Amount

$468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2025-10-29

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
I20241030000133INurse PractitionerOKTBD
I20251029004294INurse PractitionerCOTBD

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 74135)

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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: 6507211075View full group profile
NameSpecialtyState
Clinical Social WorkerCO
Clinical Social WorkerCO
Mental Health CounselorCO
Mental Health CounselorTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC)?
DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) — NPI 1609631209 — is the standard way to identify this listing.
Can I rely on DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) being an active provider?
As of the registry snapshot, DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) is marked active.
What is DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC)'s specialty?
The listing groups DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) on a map?
Expect Tulsa, Oklahoma as a primary anchor for DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) unless the record lists multiple sites.
Why does DYLAN MOLENHOUR (MSN, APRN, PMHNP-BC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.