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

Molly Jean Groskreutz

Individual provider Adult Health Nurse Practitioner · NPI 1053173823

Molly Jean Groskreutz is a Nurse Practitioner in Seattle, Washington. Qualified in 2023, 3 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2024
Specialties on file
4
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Practice location Address checks out

825 Eastlake Ave E
Seattle, WA 98109-4405
Phone: (206) 520-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP61506091 (WA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP61506091 (WA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP61506091 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61506091 (WA)

Record details

NPI number1053173823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 26, 2024
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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