Individual provider Active NPI

Robert Hollebrands, PA-C

  • Physician Assistant
  • Battle Creek, MI
National Provider Identifier
1245789643
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2 Heritage Oak LN
Battle Creek, MI 49015-4250
Phone
(877) 704-3133
Fax
(269) 979-6380
NPI assigned
Sep 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

2 Heritage Oak LN
Battle Creek, MI 49015-4250

Mailing address

2 Heritage Oak LN
Battle Creek, MI 49015-4250
Phone (877) 704-3133

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161214000562 MI Practitioner - Physician Assistant 9234419037 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
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians

Practice addresses (Care Compare)

2 Heritage Oak LN
Battle Creek, MI 49015-4250
Phone (855) 618-2676

212 Winston Dr
Marshall, MI 49068-8526

300 N Ave
Battle Creek, MI 49017-3307

300 N Ave Outpatient Ctr 2ND FL
Bronson Neuroscience Center
Battle Creek, MI 49017-3307
Phone (269) 245-5862

710 N Ave
Battle Creek, MI 49017-3258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
83.03
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital Physician Assistant CurrentSince Jan 12, 2017 Accepting new patients

Locations

2 Heritage Oak Ln
Battle Creek, MI 49015
Phone (269) 704-3133

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

300 N Ave
Detroit, MI 48279

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

Interoperability endpoints

  • Direct secure messaging: rhollebrands83768@direct.bronsonhg.org
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 1

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 3

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1245789643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HERITAGE OAK LN",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154250",
            "telephone_number": "877-704-3133",
            "fax_number": "269-979-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HERITAGE OAK LN",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154250",
            "telephone_number": "877-704-3133",
            "fax_number": "269-979-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEBRANDS",
        "first_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.