Hollys J Nielsen, FNP
Individual provider Active NPI Nurse Practitioner · Post Falls, ID
NPI 1245393131 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1245393131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP416A (ID)
- Practice address
- 750 N Syringa St Ste 100
Post Falls, ID 83854-5275 - Phone
- (208) 262-2600
- Fax
- (208) 262-2700
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Idaho Day Surgery LLC
Practice addresses (Care Compare)
750 N Syringa St
Suite 100
Post Falls, ID 83854-5275
Phone (208) 262-2600
Hospital & facility affiliations
- Northwest Specialty Hospital
- Kootenai Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070502000518 | ID | Practitioner - Nurse Practitioner | 0941306211 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP416A | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Idaho Day Surgery LLC | Current |
Accepting new patients | |
| North Idaho Day Surgery LLC | Past | Accepting new patients | |
| Kootenai Health, Inc. | Past | Accepting new patients |
Locations
7173 E Super 1 Loop
Ste A
Athol, ID 83801
Phone (208) 561-9970
315 W Dalton Ave
Ste A
Coeur D Alene, ID 83815
Phone (208) 209-2060
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600
Interoperability endpoints
- hnielsen24055@direct.peacehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| Nurse Practitioner | 363L00000X | NP416A | ID | Yes |
Addresses
Primary practice location
750 N Syringa St Ste 100
Post Falls, ID 83854-5275
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2498
Other practice location 1
315 W Dalton Ave Ste A
Coeur D Alene, ID 83815-8600
Phone (208) 209-2060
Other practice location 2
7173 E Super 1 Loop Ste A
Athol, ID 83801-7109
Phone (208) 561-9970
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245393131 | Medicaid | ID | |
| NP416A | Other | ID | LICENSE |
Other providers in Post Falls, ID
- New Leaf Psychiatry & TMS
- Sheridan Noelle Newlun
- Next Level Psychiatry Idaho PLLC
- Nexus Online Counseling PLLC
- Gregory Colton Niblack
- Monica Irene Noce
- Zachary Keith Norling
- North Idaho Compounding Center LLC
- North Idaho Day Surgery LLC
- North Idaho Day Surgery LLC
All providers in Post Falls, ID · Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.