MOLLY ANNE MORAN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336442540

MOLLY ANNE MORAN (APRN) is a healthcare provider. based in Providence, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN02368 (RI). The NPI Number for MOLLY ANNE MORAN (APRN) is 1336442540

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY ANNE MORAN (APRN)
NPI
1336442540
Phone
(401) 648-7172
Address
845 N MAIN ST
Enumeration Date
9 December 2010
Last Update Date
23 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4016487172
Graduation Year
2010 (16 years ago)
PAC ID
3870779416
Group Practice PAC ID
7113302282
Professional Enrollment ID
I20210818001556
Address ID
RI029045700PR845XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:15State licenses:3Digital endpointsOther names

1,473 NURSE PRACTITIONER in RI

Provider Addresses for MOLLY ANNE MORAN (APRN)

  • 845 N MAIN ST

    PROVIDENCE, RI 029045700

    Phone: (401) 648-7172

    Fax: (401) 648-0161

    Type: Location

  • 40 MANSFIELD AVE

    WILLIMANTIC, CT 062262018

    Phone: (860) 450-7471

    Type: Mailing

  • 117 ELLENFIELD ST STE 101

    PROVIDENCE, RI 029054541

    Phone: (401) 444-6779

    Type: Mailing

  • 180 Corliss St Ste E1

    Providence, RI 029042602

    Phone: (401) 793-2928

    Fax: (401) 793-7401

    Type: Location

  • 180 CORLISS ST STE E1

    PROVIDENCE, RI 029042602

    Phone: (401) 793-2928

    Fax: (401) 793-7401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,304.

Total Amount is formed as General ($1,304) + Research ($0) + Ownership ($0) = $1,304.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($437).

Total Amount

$1,304

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2021-08-18

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
I20210818001556INurse PractitionerRITBD

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 02904)

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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: 7113302282View full group profile
NameSpecialtyState
Mental Health CounselorNY
Nurse PractitionerMS
Nurse PractitionerMA
Clinical Social WorkerRI
Nurse PractitionerRI
Clinical PsychologistMD
Nurse PractitionerMA

Reviews

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Frequently asked questions

What identifier follows MOLLY ANNE MORAN (APRN) across health systems?
The NPI 1336442540 uniquely identifies MOLLY ANNE MORAN (APRN) in U.S. healthcare data.
Does the public listing show MOLLY ANNE MORAN (APRN) as active?
MOLLY ANNE MORAN (APRN)'s NPI record reflects an active status in NPPES.
How should patients interpret MOLLY ANNE MORAN (APRN)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for MOLLY ANNE MORAN (APRN). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MOLLY ANNE MORAN (APRN)?
MOLLY ANNE MORAN (APRN) is associated with Providence, Rhode Island in the same public data insurers reference.
Who maintains MOLLY ANNE MORAN (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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