DR. MARY D MOLLER (DNP, APRN, PMHCNS-BC) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1770582884
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for DR. MARY D MOLLER (DNP, APRN, PMHCNS-BC)
MARY D. MOLLER
14702 41ST AVE CT NW
GIG HARBOR, WA 983322471
Phone: (203) 747-5667
Type: Mailing
405, Stevenson Road, Westville, New Haven, New Haven County, Connecticut, 06515, United States
NEW HAVEN, CT 065152471
Phone: (203) 747-5667
Type: Mailing
5929 WESTGATE BLVD
TACOMA, WA 984062567
Phone: (253) 200-0415
Fax: (253) 625-7912
Type: Location
Fair Haven Health Clinic, 374, Grand Avenue, Mill River, Barnesville, New Haven, New Haven County, Connecticut, 06513, United States
NEW HAVEN, CT 065133733
Phone: (203) 777-7411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 467 Open Payments records for all available years, with a total value of $263,919.
Total Amount is formed as General ($263,919) + Research ($0) + Ownership ($0) = $263,919.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($212,231).
Total Amount
$263,919
General + Research + Ownership
Payments
467
Total payment records
General Amount
$263,919
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $212,231 |
| Axsome Therapeutics, Inc. | $39,438 |
| BioXcel Therapeutics, Inc. | $4,634 |
| Sumitomo Pharma America, Inc. | $3,224 |
| E.R. Squibb & Sons, L.L.C. | $1,586 |
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: 2015-08-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150824000807 | I | Nurse Practitioner | WA | TBD |
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.
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 98332)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| Internal Medicine | WA | |
| - | WA |
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