Individual provider Active NPI

Holly Brunner James, NP

  • Family Nurse Practitioner
  • York, ME
National Provider Identifier
1144283482
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041268 Issued in ME
Practice address
127 Long Sands Rd
Suite 11
York, ME 03909-1158
Phone
(207) 363-8430
Fax
(207) 351-3006
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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 041268 ME Primary

Addresses

Primary practice location

127 Long Sands Rd
Suite 11
York, ME 03909-1158

Mailing address

127 Long Sands Rd
Suite 11
York, ME 03909
Phone (207) 363-8430

Other identifiers 11

IdentifierTypeStateIssuer
010467585OtherMACHIGONNE
318710099OtherPRIMECARE MEDICAID
010467585OtherAETNA HMO
010467585OtherAETNA NONHMO
318710099MedicaidME
P17412OtherHARVARD PILGRIM
40Y003456ME01OtherNHANTHEM BCBS NEW HAMPSHIRE
041288OtherANTHEM BCBS
7525795OtherCIGNA HEALTHCARE
500022130OtherRAILROAD MEDICARE
010467585OtherSTANDARD TAX ID

Other names 1

  • Holly Christine Brunner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20060208000498 ME Practitioner - Nurse Practitioner 6406861764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Village Family Health Care LLCGroup PAC ID 6406245844, 2 clinicians

Practice addresses (Care Compare)

1 Brickyard LN
Suite Ee
York, ME 03909-1681
Phone (207) 305-0965

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041268MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince May 1, 2013 Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
Village Family Health Care LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

23 Wells St
North Berwick, ME 03906
Phone (207) 501-5300

16 Hospital Dr
#201
York, ME 03909
Phone (207) 351-2478

127 Long Sands Rd
Ste 11
York, ME 03909
Phone (207) 361-3888

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

1 Brickyard Ln
Ste Ee
York, ME 03909
Phone (207) 305-0965

16 Hospital Dr
York, ME 03909
Phone (207) 351-3455

16 Hospital Dr
Ste 201
York, ME 03909
Phone (207) 363-8430

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDFCD

Organizations & group practices 3

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 5

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1144283482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LONG SANDS RD",
            "address_2": "SUITE 11",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "207-363-8430",
            "fax_number": "207-351-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LONG SANDS RD",
            "address_2": "SUITE 11",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091158",
            "telephone_number": "207-363-8430",
            "fax_number": "207-351-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "HOLLY",
        "middle_name": "BRUNNER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "041268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACHIGONNE",
            "identifier": "010467585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMECARE MEDICAID",
            "identifier": "318710099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "010467585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NONHMO",
            "identifier": "010467585",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318710099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "P17412",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NEW HAMPSHIRE",
            "identifier": "40Y003456ME01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "041288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "7525795",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500022130",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STANDARD TAX ID",
            "identifier": "010467585",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BRUNNER",
            "middle_name": "CHRISTINE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.