Individual provider Active NPI

Holly Rose Bean, D.O.

  • Infectious Disease Physician
  • Erie, PA
National Provider Identifier
1164866372
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
OS019486 Issued in PA
Practice address
2314 Sassafras St Ste 310
Erie, PA 16502
Phone
(814) 456-6194
Fax
(814) 452-5777
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X OS019486 PA Primary

Addresses

Primary practice location

2314 Sassafras St Ste 310
Erie, PA 16502

Mailing address

2314 Sassafras St Ste 310
Erie, PA 16502-2721
Phone (814) 456-6194

Other practice location 1

1307 Federal St Ste B110
Pittsburgh, PA 15212
Phone (412) 359-3360

Other identifiers 1

IdentifierTypeStateIssuer
103240095MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hbean98777@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181031001243 PA Practitioner - Infectious Disease 1456648625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2314 Sassafras St
FL 2
Erie, PA 16502-2722
Phone (814) 456-6194

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Oct 11, 2018 Accepting new patients
Allegheny Clinic Infectious Disease CurrentSince Oct 11, 2018 Accepting new patients
Allegheny Clinic Current Accepting new patients
St Vincent Medical Education and Research Institute Inc Infectious Disease CurrentSince Aug 12, 2019 Accepting new patients
Saint Vincent Medical Education and Research Institute Infectious Disease PastSince Jul 25, 2019 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

2314 Sassafras St
Ste 310
Erie, PA 16502
Phone (814) 456-6194

2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

1307 Federal St
Ste B110
Pittsburgh, PA 15212
Phone (412) 359-3360

Interoperability endpoints

  • Direct secure messaging: hbean98777@direct.ahn.org

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 1

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1164866372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST STE 310",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022721",
            "telephone_number": "814-456-6194",
            "fax_number": "814-452-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST STE 310",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16502",
            "telephone_number": "814-456-6194",
            "fax_number": "814-452-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 Federal St Ste B110",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15212",
            "country_code": "US",
            "telephone_number": "412-359-3360",
            "fax_number": "412-359-6899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAN",
        "first_name": "HOLLY",
        "middle_name": "ROSE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "OS019486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103240095",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hbean98777@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2314 Sassafras St Ste 310",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "16502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.