NPIMap

Individual provider Active NPI

Nikos Peter Hollis, NP

  • Family Nurse Practitioner
  • Fruita, CO
National Provider Identifier
1083163612
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992621-NP Issued in CO
Practice address
300 W Ottley Ave
Fruita, CO 81521-2118
Phone
(970) 858-2585
Fax
(970) 858-2555
NPI assigned
Sep 23, 2016
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 APN.0992621-NP CO Primary

Addresses

Primary practice location

300 W Ottley Ave
Fruita, CO 81521-2118

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Other practice location 1

2333 N 6th St
Grand Junction, CO 81501-2001
Phone (970) 298-1782

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nikoshollis@fhwco.cernerdirect.hom Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208000063 CO Practitioner - Nurse Practitioner 8527348564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

P O Box
Suite 130
Fruita, CO 81521-0130

PO Box
Suite 130
Fruita, CO 81521

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0992621-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association CurrentSince Dec 20, 2019 Accepting new patients
Lower Valley Hospital Association CurrentSince Dec 20, 2019 Accepting new patients
Lower Valley Hospital Association Current Accepting new patients
Lower Valley Hospital Association CurrentSince Oct 16, 2025 Accepting new patients
Lower Valley Hospital Association Past Accepting new patients

Locations

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

300 W Ottley Ave
#W
Fruita, CO 81521

300 W Ottley Ave
Fl 1
Fruita, CO 81521

300 W Ottley Ave
Fl 2
Fruita, CO 81521

551 Kokopelli Blvd
Unit F
Fruita, CO 81521
Phone (970) 858-2585

Interoperability endpoints

  • Direct secure messaging: nikoshollis@fhwco.cernerdirect.hom

Organizations & group practices 5

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1083163612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186",
            "fax_number": "970-858-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OTTLEY AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212118",
            "telephone_number": "970-858-2585",
            "fax_number": "970-858-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012001",
            "country_code": "US",
            "telephone_number": "970-298-1782",
            "fax_number": "970-298-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "NIKOS",
        "middle_name": "PETER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992621-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikoshollis@fhwco.cernerdirect.hom",
            "affiliation": "N",
            "endpointDescription": "Family Health West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "300 W Ottley Ave",
            "city": "Fruita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815212118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.