Individual provider Active NPI

Holly Zehr, M.D.

  • Family Nurse Practitioner
  • Jasper, IN
National Provider Identifier
1063702868
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003606A Issued in IN
Practice address
613 Dorbett Street
Jasper, IN 47546-2615
Phone
(812) 481-2229
Fax
(812) 482-3993
NPI assigned
Apr 13, 2011
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003606A IN Primary

Addresses

Primary practice location

613 Dorbett Street
Jasper, IN 47546-2615

Mailing address

613 Dorbett Street
Jasper, IN 47546-2615
Phone (812) 481-2229

Other names 1

  • Holly J Lagenour Former name

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
I20110601000154 IN Practitioner - Nurse Practitioner 7517144587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasper Obstetrics and Gynecology IncGroup PAC ID 5395895288, 8 clinicians

Practice addresses (Care Compare)

613 Dorbett St
Jasper, IN 47546-2615
Phone (812) 481-2229

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71003606AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Obstetrics and Gynecology Inc CurrentSince Jul 16, 2012 Accepting new patients

Locations

613 Dorbett St
Jasper, IN 47546
Phone (812) 481-2229

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1063702868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 DORBETT STREET",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462615",
            "telephone_number": "812-481-2229",
            "fax_number": "812-482-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 DORBETT STREET",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462615",
            "telephone_number": "812-481-2229",
            "fax_number": "812-482-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHR",
        "first_name": "HOLLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003606A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "LAGENOUR",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.