Holly Jo Sims, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN9186215 Issued in FL

Practice address

4295 3Rd Ave
Marianna, FL 32446-2120

Phone

(850) 482-0017

Fax

(850) 526-5002

NPI assigned

Mar 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Hospital Hospital, Marianna, FL, CCN 100142

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• ER Physician Group at Jackson Hospital

  • General Practice Physician
  • Marianna, FL
  • NPI 1407801194
  Medicare reassignment Care Compare group NPD

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

• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725
  Care Compare affiliation

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1134443484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-482-0017",
            "fax_number": "850-482-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 3RD AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462120",
            "telephone_number": "850-482-0017",
            "fax_number": "850-526-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1798 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Alford",
            "state": "FL",
            "postal_code": "324206800",
            "country_code": "US",
            "telephone_number": "850-526-6727",
            "fax_number": "850-526-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4896 Highway 90 Ste A",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324467840",
            "country_code": "US",
            "telephone_number": "850-526-6700",
            "fax_number": "850-526-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "HOLLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9186215",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9186215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Val Sheffield, M.D.
• Joseph T Sherrel, M.D.
• Anna Maria Shuemake, LPN
• Albert Shuler, NP
• Cynthia Sims
• Lindsey Sims
• Lori Jean Sims, PT
• Melissa Reeve Sims, RN
• Debbie Ann Sinclair, R.PH.
• Jennifer Ethel Sizemore, MSN, RN, PMHNP-BC

• Primary Care Nurse Practitioner in Marianna, FL
• Providers in Marianna, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.