MOLLY ANNE GRANT (PA-C) – Medical Physician Assistant, NPI 1720484850

MOLLY ANNE GRANT (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA170426 (OR). The NPI Number for MOLLY ANNE GRANT (PA-C) is 1720484850

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY ANNE GRANT (PA-C)
NPI
1720484850
Phone
(503) 963-2801
Address
847 NE 19TH AVE STE 300
Enumeration Date
17 November 2014
Last Update Date
23 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032744999
Graduation Year
2014 (12 years ago)
PAC ID
0345564571
Group Practice PAC ID
2860390408
Professional Enrollment ID
I20150119000105
Address ID
OR970511299SA500NXHWYX400
Telehealth
Yes

Contacts

Secure Messaging
referringgso@orclinic.direct-ci.net
Secure Messaging
cc_otoc_gastro_south_front_desk_pool12223286@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for MOLLY ANNE GRANT (PA-C)

  • 847 NE 19TH AVE STE 300

    PORTLAND, OR 972322686

    Phone: (503) 963-2801

    Type: Mailing

  • 19250 SW 90TH AVE

    TUALATIN, OR 97062

    Phone: (503) 692-3750

    Fax: (503) 691-2324

    Type: Location

  • 879 N Providence Dr

    Newberg, OR 971327563

    Phone: (503) 692-3750

    Fax: (503) 691-2324

    Type: Location

  • 541 NE 20TH AVE STE 225

    PORTLAND, OR 972322895

    Phone: (503) 963-2801

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($182).

Total Amount

$284

General + Research + Ownership

Payments

5

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2015-01-19

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
I20150119000105IPhysician AssistantORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6963$0
99214Established patient office or other outpatient visit, 30-39 minutes6764$0
99204New patient office or other outpatient visit, 45-59 minutes4646$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 97232)

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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: 2860390408View full group profile
NameSpecialtyState
Pulmonary DiseaseOR
-OR
O T O L A R Y N G O L O G YOR
Internal Medicine, GastroenterologyOR
Gastroenterology, Internal MedicineOR
-OR
-OR
Qualified AudiologistOR
Physician AssistantOR
N E U R O S U R G E R YOR

Reviews

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Frequently asked questions

How do payers reference MOLLY ANNE GRANT (PA-C)?
For MOLLY ANNE GRANT (PA-C), use NPI 1720484850 as the unique 10-digit identifier.
Would MOLLY ANNE GRANT (PA-C) appear as active to a payer?
You can treat MOLLY ANNE GRANT (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MOLLY ANNE GRANT (PA-C)?
MOLLY ANNE GRANT (PA-C)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MOLLY ANNE GRANT (PA-C)?
Directory geography for MOLLY ANNE GRANT (PA-C) centers on Portland, Oregon.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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