Individual provider Active NPI

Holly Ann Monka, NP

  • Adult Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1114104874
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3543 Issued in AZ
Practice address
5151 E Pima St Ste 110
Tucson, AZ 85712-3627
Phone
(800) 922-0095
Fax
(602) 325-2082
NPI assigned
Jan 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 30 304786 NY
Nurse Practitioner 363L00000X RN160935 AZ
Adult Health Nurse Practitioner 363LA2200X 3543 AZ Primary

Addresses

Primary practice location

5151 E Pima St Ste 110
Tucson, AZ 85712-3627

Mailing address

1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 792-3293

Other practice location 1

2435 N Castro Ave
Tucson, AZ 85705-5060
Phone (520) 622-8030

Other identifiers 1

IdentifierTypeStateIssuer
490577MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080207000082 NY Practitioner - Nurse Practitioner 1153404678
I20100323001001 AZ Practitioner - Nurse Practitioner 1153404678 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30 304786NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Valley CurrentSince Jan 2, 2026 Accepting new patients
Hospice of the Valley CurrentSince Jan 2, 2026 Accepting new patients
Buena Vista Recovery, LLC PastSince Jul 16, 2023 Accepting new patients
Buena Vista Recovery PastSince May 1, 2020 Accepting new patients
Buena Vista Recovery, LLC PastSince May 31, 2020 Accepting new patients
Adult Health Nurse Practitioner House Call Services, PLLC Nurse Practitioner PastSince Nov 1, 2006 Accepting new patients
Scottsdale Mat Clinic PastSince Jan 21, 2022 Accepting new patients
SMC Recovery LLC Past Accepting new patients
Buena Vista Recovery, LLC PastSince Nov 8, 2020 Accepting new patients

Locations

1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900

Organizations & group practices 9

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1114104874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-792-3293",
            "fax_number": "520-792-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E PIMA ST STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123627",
            "telephone_number": "800-922-0095",
            "fax_number": "602-325-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 N Castro Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857055060",
            "country_code": "US",
            "telephone_number": "520-622-8030",
            "fax_number": "520-622-8012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONKA",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30 304786",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN160935",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "3543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490577",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.