Individual provider Active NPI

Holly Stabler Incoll, PA-C

  • Medical Physician Assistant
  • Pasadena, CA
National Provider Identifier
1194175281
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
150 W Dayton St Apt 4037
Pasadena, CA 91105-4555
Phone
(602) 980-0038
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

150 W Dayton St Apt 4037
Pasadena, CA 91105-4555

Mailing address

150 W Dayton St Apt 4037
Pasadena, CA 91105-4555
Phone (602) 980-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20160801000068 CA Practitioner - Physician Assistant 0547553448 Reassigns benefits to 1 organization
I20220223002271 TX Practitioner - Physician Assistant 0547553448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anywhere Clinic PCGroup PAC ID 5799297016, 4 clinicians

Practice addresses (Care Compare)

655 Redwood Hwy Frontage Rd
Suite 246
Mill Valley, CA 94941-3055
Phone (702) 848-2256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anywhere Clinic PC Physician Assistant CurrentSince Jul 31, 2025 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

655 Redwood Hwy Frontage Rd
Ste 246
Mill Valley, CA 94941
Phone (415) 301-5000

4546 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 328-6163

4029 Dean Martin Dr
Las Vegas, NV 89103
Phone (702) 919-1508

1120 Nasa Pkwy
Ste 225
Houston, TX 77058
Phone (713) 706-8300

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.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1194175281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W DAYTON ST APT 4037",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054555",
            "telephone_number": "602-980-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W DAYTON ST APT 4037",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054555",
            "telephone_number": "602-980-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCOLL",
        "first_name": "HOLLY",
        "middle_name": "STABLER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.