Individual provider Active NPI

Nathan Veral Hollenbeck, NP

  • Family Nurse Practitioner
  • Enid, OK
National Provider Identifier
1083283329
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0101409 Issued in OK
Practice address
620 S Madison St Ste 209a
Enid, OK 73701-7270
Phone
(580) 233-2300
NPI assigned
Jun 22, 2021
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 R0101409 OK Primary

Addresses

Primary practice location

620 S Madison St Ste 209a
Enid, OK 73701-7270

Mailing address

5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 618-1586

Other names 1

  • Mr. Nate Veral Hollenbeck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20221103003043 OK Practitioner - Nurse Practitioner 4183091184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

620 S Madison St
203 Integris Keelietucker MD
Enid, OK 73701-7270
Phone (580) 213-9760

620 S Madison St
Integris Medical Group Enid
Enid, OK 73701-7273
Phone (580) 233-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0101409OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Bass Baptist Health Center Current Accepting new patients
Integris Bass Baptist Health Center CurrentSince Nov 21, 2022 Accepting new patients
Integris Bass Baptist Health Center CurrentSince Nov 21, 2022 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jul 1, 2025 Accepting new patients
Integris Bass Baptist Health Center Past Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients

Locations

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

620 S Madison St
Enid, OK 73701
Phone (405) 242-7020

620 S Madison St
Ste 203
Enid, OK 73701
Phone (580) 213-9760

620 S Madison St
Ste 209A
Enid, OK 73701
Phone (580) 233-2300

158 E Sunset Dr
Ste B
Medford, OK 73759
Phone (580) 395-2319

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

Interoperability endpoints

  • Direct secure messaging: nhollenbeck282513@direct.integrisok.com

Organizations & group practices 6

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 2

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1083283329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "405-618-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S MADISON ST STE 209A",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017270",
            "telephone_number": "580-233-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "NATHAN",
        "middle_name": "VERAL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0101409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATE",
            "last_name": "HOLLENBECK",
            "middle_name": "VERAL",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.