MOLLY RENEE WILSON-SMITH (MD) – Obstetrics & Gynecology Physician, NPI 1134569098

MOLLY RENEE WILSON-SMITH (MD) is a healthcare provider. based in Portland, Oregon. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD191456 (OR). The NPI Number for MOLLY RENEE WILSON-SMITH (MD) is 1134569098

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY RENEE WILSON-SMITH (MD)
NPI
1134569098
Phone
(503) 601-3615
Address
7650 SW BEVELAND RD STE 200
Enumeration Date
25 June 2013
Last Update Date
9 September 2019

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5034356441
Graduation Year
2015 (11 years ago)
PAC ID
5799075271
Group Practice PAC ID
6103729314
Professional Enrollment ID
I20191122001238
Address ID
OR971286255MC2700XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

632 OBSTETRICS/GYNECOLOGY in OR

Provider Addresses for MOLLY RENEE WILSON-SMITH (MD)

  • 7650 SW BEVELAND RD STE 200

    PORTLAND, OR 972238692

    Phone: (503) 601-3615

    Fax: (503) 646-1683

    Type: Mailing

  • 7431 NE EVERGREEN PKWY STE 100

    HILLSBORO, OR 97124

    Phone: (503) 840-3400

    Fax: (503) 840-3409

    Type: Location

  • 3181 SW Sam Jackson Park Rd

    OHSU

    Portland, OR 972393011

    Phone: (503) 494-8220

    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 $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: CooperSurgical, Inc. ($123).

Total Amount

$146

General + Research + Ownership

Payments

2

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

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: 2019-11-22

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
I20191122001238IObstetrics/GynecologyORTBD

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 97223)

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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: 6103729314View full group profile
NameSpecialtyState
Nurse PractitionerOR
-OR
General SurgeryOR
Orthopedic SurgeryOR
Hospitalist, Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YLA
Internal MedicineOR
Internal MedicineOR
-CA
-OR

Reviews

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Frequently asked questions

What NPI should I save for MOLLY RENEE WILSON-SMITH (MD)?
Save NPI 1134569098 if you need a stable reference for MOLLY RENEE WILSON-SMITH (MD).
Is MOLLY RENEE WILSON-SMITH (MD) currently active in the NPI registry?
CMS-published data lists MOLLY RENEE WILSON-SMITH (MD) as an active registrant.
Can you summarize MOLLY RENEE WILSON-SMITH (MD)'s specialty in plain language?
Clinically, the directory lists MOLLY RENEE WILSON-SMITH (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MOLLY RENEE WILSON-SMITH (MD)?
The snapshot lists Portland, Oregon for MOLLY RENEE WILSON-SMITH (MD); download NPPES for the complete set.
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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