Individual provider Active NPI

Misti Dawn Holland, CNP,MS

  • Family Nurse Practitioner
  • Lancaster, OH
National Provider Identifier
1265831036
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0814056 Issued in OH
Practice address
111 S Memorial Dr
Lancaster, OH 43130
Phone
(740) 653-2631
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0814056 OH Primary

Addresses

Primary practice location

111 S Memorial Dr
Lancaster, OH 43130

Mailing address

111 S Memorial Dr
Lancaster, OH 43130-4361
Phone (614) 208-3305

Other practice location 1

3424 S High St
Columbus, OH 43207-3625
Phone (614) 491-8137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20141002000790 OH Practitioner - Nurse Practitioner 1658591243 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Your Door Visiting Healthcare Services LLCGroup PAC ID 0042522344, 37 clinicians

Practice addresses (Care Compare)

314 Agler Rd
Columbus, OH 43230-2546
Phone (614) 284-4114

Hospital & facility affiliations

  • Scarlet Home Health Care Home health agency, Westerville, OH, CCN 369039
  • Vitas Healthcare Corporation of Ohio Hospice, Cincinnati, OH, CCN 361562
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science

State licenses

LicenseStateTypeSpecialty
F0814056OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Aug 1, 2025 Accepting new patients
Ayd - Value Based Services LLC Family CurrentSince Dec 1, 2025 Accepting new patients
At Your Door Visiting Healthcare Services, LLC Family CurrentSince Mar 1, 2018 Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

2245 N Bank Dr
Columbus, OH 43220
Phone (614) 233-2142

1302 Millville Ave
Hamilton, OH 45013
Phone (513) 867-4100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
  • Direct secure messaging: misti.holland.1@26689.direct.athenahealth.com

Organizations & group practices 4

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": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1265831036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MEMORIAL DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304361",
            "telephone_number": "614-208-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MEMORIAL DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-653-2631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3424 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432073625",
            "country_code": "US",
            "telephone_number": "614-491-8137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MISTI",
        "middle_name": "DAWN",
        "credential": "CNP,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F0814056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.