NPIMap

Individual provider Active NPI

Holly Rebecca Womack

  • Student in an Organized Health Care Education/Training Program
  • Hyannis, MA
National Provider Identifier
1114556206
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1030 Falmouth Rd Ste 101
Hyannis, MA 02601-2324
Phone
(774) 552-3209
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1017378 MA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1030 Falmouth Rd Ste 101
Hyannis, MA 02601-2324

Mailing address

1030 Falmouth Rd Ste 101
Hyannis, MA 02601-2324
Phone (774) 552-3209

Other practice location 1

27 Park St
Hyannis, MA 02601-5230
Phone (508) 862-5481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20231221000808 MA Practitioner - Hospitalist 2365865078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Affiliates of Cape Cod IncGroup PAC ID 3577471564, 237 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

1030 Falmouth Rd
Hyannis, MA 02601-2324
Phone (774) 552-3209

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

  • Bayada Home Health Care , Inc Home health agency, Hyannis, MA, CCN 227466
  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Centerwell Home Health Home health agency, Sandwich, MA, CCN 227426
  • Visiting Nurse Association of Cape Cod Hospice Hospice, Hyannis, MA, CCN 221554
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1017378MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. Family Medicine CurrentSince Nov 6, 2023 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Nov 6, 2023 Accepting new patients
Cape Cod Hospital Inc Past Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

1030 Falmouth Rd
Ste 101
Hyannis, MA 02601
Phone (508) 775-8484

1030 Falmouth Rd
Hyannis, MA 02601
Phone (774) 470-5080

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1114556206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 FALMOUTH RD STE 101",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012324",
            "telephone_number": "774-552-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 FALMOUTH RD STE 101",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012324",
            "telephone_number": "774-552-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Park St",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026015230",
            "country_code": "US",
            "telephone_number": "508-862-5481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "HOLLY",
        "middle_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "1017378",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.