Individual provider Active NPI

Holly Renee Terry, FNP-C

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1164912192
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008060A Issued in IN
Practice address
1701 Spring St Ste B
Jeffersonville, IN 47130-2930
Phone
(812) 284-2273
NPI assigned
May 15, 2018
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012106 KY
Family Nurse Practitioner 363LF0000X 71008060A IN Primary

Addresses

Primary practice location

1701 Spring St Ste B
Jeffersonville, IN 47130-2930

Mailing address

225 Pebble Brook Dr
Charlestown, IN 47111-7811
Phone (502) 649-6531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20180712000913 IN Practitioner - Nurse Practitioner 1850647439 Reassigns benefits to 3 organizations
I20180730000727 KY Practitioner - Nurse Practitioner 1850647439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Physicians of Indiana LLCGroup PAC ID 4981841780, 76 clinicians
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

1701 Spring St
Suite B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

203 Sparks Ave
SPC in
Jeffersonville, IN 47130-3732
Phone (812) 283-7918

2400 Market St
SPC in
Charlestown, IN 47111-7816
Phone (812) 406-1099

3100 Utica Sellersburg Rd
SP in Bridgepointe Gardens
Jeffersonville, IN 47130-8528
Phone (812) 818-1414

3700 Lafayette Pkwy
SPC in
Floyds Knobs, IN 47119-9788
Phone (812) 923-4888

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

9107 Taylorsville Rd
Louisville, KY 40299-1751
Phone (888) 788-2501

9775 Crosspoint Blvd
Suite 118
Indianapolis, IN 46256-3376
Phone (317) 588-3067

Hospital & facility affiliations

  • Carefirst Rehab LLC Home health agency, Sellersburg, IN, CCN 157657
  • Kort Home health agency, Jeffersonville, IN, CCN 157660

Merit-based Incentive Payment System (MIPS)

Final score
26.69 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
88.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008060AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Mar 2, 2025 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Jul 3, 2018 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
Sound Physicians of Indiana, LLC Current Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Mar 2, 2025 Accepting new patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Jul 3, 2018 Accepting new patients
Transitions Health Network LLC Family Past Accepting new patients

Locations

9775 Crosspoint Blvd
Ste 118
Indianapolis, IN 46256
Phone (317) 381-0095

1701 Spring St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 284-2272

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4301 N Walnut St
Muncie, IN 47303
Phone (765) 282-0053

9107 Taylorsville Rd
Louisville, KY 40299
Phone (502) 380-6585

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1164912192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PEBBLE BROOK DR",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471117811",
            "telephone_number": "502-649-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SPRING ST STE B",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471302930",
            "telephone_number": "812-284-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "HOLLY",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008060A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.