Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mollie Claire Waller

Individual provider Physician Assistant · NPI 1235918368

Mollie Claire Waller is a Physician Assistant in Portsmouth, New Hampshire. Qualified in 2024, 2 years ago. Practices with Sportsmedicine Atlantic Orthopaedics PA, a 28-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

1900 Lafayette Rd Ste A
Portsmouth, NH 03801-5679
Phone: (603) 431-1121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16 Hospital Dr Ste B, York, ME 03909-1041 — (603) 431-1121
  • 15 Durham Rd Ste 108, Dover, NH 03820-4791 — (603) 431-1121

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1235918368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sportsmedicine Atlantic Orthopaedics Pa — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portsmouth