Jonathan Hollis, F-NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704290748 Issued in MI

Practice address

1525 W Caro Rd
Caro, MI 48723-9686

Phone

(989) 672-2100

NPI assigned

Mar 28, 2016

Last updated

Feb 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tricity InternistsGroup PAC ID 6002954443, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Home Care Home health agency, Midland, MI, CCN 237015
• Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325
• Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17512/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/20296/brand/1/csg/1/fhir/r4
• Direct secure messaging: jonathan.hollis.1@17511.direct.athenahealth.com
• Direct secure messaging: jonathan.hollis.1@20296.direct.athenahealth.com

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.

• Tricity Internists

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1568796852
  Medicare reassignment Care Compare group NPD
• Caro Health Plaza PLC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1659326395
  Medicare reassignment NPD
• Gladwin Family Care PLLC

  • Multi-Specialty Clinic/Center
  • Gladwin, MI
  • NPI 1932788577
  Medicare reassignment NPD
• St. Charles Family Clinic PLLC

  • Family Medicine Physician
  • Saint Charles, MI
  • NPI 1669837993
  Medicare reassignment
• Caro Health Plaza PLC

  • Rural Health Clinic/Center
  • Caro, MI
  • NPI 1689022469
  NPD
• Gladwin Family Care PLLC

  • Rural Health Clinic/Center
  • Gladwin, MI
  • NPI 1972973378
  NPD

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

• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation
• Mymichigan Medical Center Gladwin

  • Critical Access Hospital
  • Gladwin, MI
  • NPI 1235248071
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  dba Family Practice Center

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1376973149
  Care Compare affiliation
• Mymichigan Medical Center Midland

  dba MyMichigan Home Care

  • Home Health Agency
  • Midland, MI
  • NPI 1639102163
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1205298262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239686",
            "telephone_number": "989-672-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239686",
            "telephone_number": "989-672-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "JONATHAN",
        "credential": "F-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704290748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659326395",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689022469",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hills & Dales General Hospital, Inc. (Hills & Dales Center for Rehab & Fitness- Caro)
• Hills & Dales General Hospital, Inc. (Hills & Dales Caro Family Practice)
• Hills and Dales General Hospital (Caro Medical Clinic)
• Ann Renee Hoadley
• Chelsea Holdwick, LLMSW
• Steven Allen Holman, AGNP
• Irvin Leroy Holtzhouse, MA, TLLP
• Nicole Horneber, OTRL
• Traci Horrisberger, LLPC
• Emily Hosmer, PT, DPT

• Gerontology Nurse Practitioner in Caro, MI
• Providers in Caro, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.