Individual provider Active NPI

Holly Lyn Bulver, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clive, IA
National Provider Identifier
1245911080
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G175610 Issued in IA
Practice address
12035 University Ave Ste 202
Clive, IA 50325-8264
Phone
(515) 570-9876
Fax
(641) 847-5560
NPI assigned
Jul 25, 2023
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G175610 IA Primary

Addresses

Primary practice location

12035 University Ave Ste 202
Clive, IA 50325-8264

Mailing address

2122 6TH Ave N
Fort Dodge, IA 50501-3521
Phone (515) 570-9876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240905002552 IA Practitioner - Nurse Practitioner 2264972215 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CH Specialty Services Ia PCGroup PAC ID 2466826102, 130 clinicians
Curana Health of Iowa PLLCGroup PAC ID 9133536113, 152 clinicians

Practice addresses (Care Compare)

444 N W View Dr
Osceola, IA 50213-8267
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SBH-Davenport, LLC CurrentSince Jun 27, 2024 Accepting new patients
Curana Health of Iowa PLLC CurrentSince Apr 22, 2025 Accepting new patients
SBH-Davenport, LLC CurrentSince Jun 27, 2024 Accepting new patients
CH Specialty Services Ia PC CurrentSince Apr 22, 2025 Accepting new patients
Medpsych Inc. PC CurrentSince Sep 23, 2024 Accepting new patients
Daybreak Counseling Inc. Past Accepting new patients
Transcend Mind-Body Wellness, LLC Psychiatric/Mental Health Past Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

770 Tanglefoot Ln
Bettendorf, IA 52722
Phone (563) 241-7443

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

444 N West View Dr
Spc Care
Osceola, IA 50213

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1245911080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 6TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013521",
            "telephone_number": "515-570-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12035 UNIVERSITY AVE STE 202",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258264",
            "telephone_number": "515-570-9876",
            "fax_number": "641-847-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULVER",
        "first_name": "HOLLY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G175610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.