Holly J Cluck, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-106380 Issued in AL

Practice address

2065 E South Blvd
Suite 201
Montgomery, AL 36116-2458

Phone

(334) 747-7250

Fax

(334) 747-7270

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Care Authority for Baptist Health, an Affiliate of UabhsGroup PAC ID 8426076670, 270 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

Merit-based Incentive Payment System (MIPS)

Final score

83 of 100Reported as group

Quality

64.43

Promoting interoperability

100

Improvement activities

40

Cost

78.9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.cluck@direct.baptistfirst.org

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.

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Primary Medicine Associates

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982653390
  Medicare reassignment Care Compare group NPD
• The Health Care Authority for Baptist Health

  dba Baptist Medical Center South - Wound Care

  • Clinic/Center
  • Montgomery, AL
  • NPI 1538347067
  NPD (past)
• The Health Care Authority for Baptist Health

  dba Alabama Oncology Hematology Associates

  • Hematology & Oncology Physician
  • Montgomery, AL
  • NPI 1972749398
  NPD (past)
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  dba Prattville Baptist Hospital

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  NPD (past)

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

• Health Care Authority for Baptist Health an Affiliate of Uabhs

  dba Baptist Medical Center East

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1104917780
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  dba Prattville Baptist Hospital

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1275875585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E SOUTH BLVD",
            "address_2": "SUITE 201",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162458",
            "telephone_number": "334-747-7250",
            "fax_number": "334-747-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUCK",
        "first_name": "HOLLY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-106380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Margot Cleveland, CRNP
• Haley Harvey Clifton, CRNP
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• CNB Eyewear
• Paul Vincent Tio Co, MD
• Coates Optical Lab Inc
• Candice Warren Cobb, D.C.
• Holly P Cobb, NP

• Adult Health Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.