Holly Bennett Bunch, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11706 Issued in TN

Practice address

58 Murray Guard Dr
Jackson, TN 38305-3661

Phone

(731) 513-5701

Fax

(877) 670-6150

NPI assigned

Jul 18, 2006

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Holly Bennett Crews Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CVC PLLCGroup PAC ID 7315364379, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
• Volunteer Community Hospital Hospital, Martin, TN, CCN 440061

Merit-based Incentive Payment System (MIPS)

Final score

79.92 of 100Reported as group

Quality

61.64

Improvement activities

40

Cost

72.07

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.bunch@tcc-tn.direct.office.nextgen.com
• Direct secure messaging: hollybunch@cvcpllc.allscriptsdirect.net
• Direct secure messaging: hollybunch@hvcwtn.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CVC PLLC

  • Cardiovascular Disease Physician
  • Jackson, TN
  • NPI 1053935437
  Medicare reassignment Care Compare group NPD
• MV Clinic PLLC

  • Internal Medicine Physician
  • Lexington, TN
  • NPI 1548036577
  NPD Authorized official
• MV Clinic PLLC

  dba Lex health & Wellness

  • Rural Health Clinic/Center
  • Lexington, TN
  • NPI 1740106897
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dyersburg Health

  dba Dyersburg Employee Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Martin Health

  dba West Tennessee Healthcare Volunteer Hospital

  • General Acute Care Hospital
  • Martin, TN
  • NPI 1275505372
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1033138391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053661",
            "telephone_number": "731-513-5701",
            "fax_number": "877-670-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053661",
            "telephone_number": "731-513-5701",
            "fax_number": "877-670-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "HOLLY",
        "middle_name": "BENNETT",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "11706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollybunch@cvcpllc.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "CVC PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "58 Murray Guard Dr",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383053661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "CREWS",
            "middle_name": "BENNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Buchanan
• Kaley Buchanan, RBT
• Eric Richard Buchner, D.M.D.
• Mandy D Buckley, CPHT
• Emily Bullard, PTA
• Janet Buote, B.S.
• Cindy Burden
• Anna Elizabeth Glass Burgess, MD
• Jennifer Michelle Burgess, MS, OTR/L
• Shannon Burke, D.O.

• Adult Health Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.