Individual provider Active NPI

Holly Marie Miller-Eshleman, FNP

  • Family Nurse Practitioner
  • Dennison, OH
National Provider Identifier
1053694497
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012053A Issued in IN
Practice address
819 N 1St St
Dennison, OH 44621-1003
Phone
(740) 922-2800
NPI assigned
Sep 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN 338906 OH
Family Nurse Practitioner 363LF0000X 71012053A IN Primary

Addresses

Primary practice location

819 N 1St St
Dennison, OH 44621-1003

Mailing address

819 N 1St St
Dennison, OH 44621-1003

Other practice location 1

10475 Crosspoint Blvd Ste 250
Indianapolis, IN 46256-3387
Phone (866) 949-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20241118003089 IN Practitioner - Nurse Practitioner 2668649823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Medical Services LLCGroup PAC ID 0042603599, 7 clinicians

Practice addresses (Care Compare)

211 N Cedar St
Mishawaka, IN 46545-6923
Phone (888) 732-4293

501 Comfort PL
Mishawaka, IN 46545-5234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012053AINMDFamily Nurse Practitioner
RN 338906OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Medical Services LLC CurrentSince Oct 23, 2024 Accepting new patients

Locations

501 Comfort Pl
Mishawaka, IN 46545
Phone (574) 243-3100

211 N Cedar St
Mishawaka, IN 46545
Phone (574) 232-2666

Interoperability endpoints

  • Direct secure messaging: ms_hmille48@landmarkhealth-direct.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1053694497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003",
            "telephone_number": "740-922-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10475 Crosspoint Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462563387",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER-ESHLEMAN",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN 338906",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012053A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dennison, OH

Sources for this page

Verify at the official NPI Registry.