Holly Hollembeak, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0994689 Issued in CO

Practice address

404 E Front St
Byers, CO 80103-9727

Phone

(303) 822-5100

Fax

(303) 822-5106

NPI assigned

Jun 10, 2019

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln Community HospitalGroup PAC ID 8729987219, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lincoln Health Hospital Hospital, Hugo, CO, CCN 061306

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lincoln Community Hospital

  • Critical Access Hospital
  • Hugo, CO
  • NPI 1720107519
  Medicare reassignment Care Compare group NPD
• Lincoln Community Hospital

  dba Lincoln Health Byers Clinic

  • Family Medicine Physician
  • Byers, CO
  • NPI 1609507409
  NPD

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

• Lincoln Community Hospital

  • Critical Access Hospital
  • Hugo, CO
  • NPI 1720107519
  Care Compare affiliation

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1063071496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "HUGO",
            "state": "CO",
            "postal_code": "808210248",
            "telephone_number": "719-743-2421",
            "fax_number": "719-743-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E FRONT ST",
            "city": "BYERS",
            "state": "CO",
            "postal_code": "801039727",
            "telephone_number": "303-822-5100",
            "fax_number": "303-822-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 6th St",
            "address_purpose": "LOCATION",
            "city": "Hugo",
            "state": "CO",
            "postal_code": "808212002",
            "country_code": "US",
            "telephone_number": "719-743-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLEMBEAK",
        "first_name": "HOLLY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0994689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care-a-Van Transport LLC
• Dragonfly Supportive Services LLC
• Amber Garrison-Ahmed
• Hannah Renee Gores, PTA
• Healthone Clinic Services - Bariatric Medicine LLC
• Ashley Lewis
• Lincoln Community Hospital (Lincoln Health Byers Clinic)
• Lincoln Community Hospital (Lincoln Health Byers Clinic)
• Meghan Patrick-Cobb, LPC
• Primo Enterprises Inc

• Family Nurse Practitioner in Byers, CO
• Providers in Byers, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.