Individual provider Active NPI

Holly Nicole Tonelli, FNP-BC

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1285243048
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106878 Issued in WV
Practice address
1129 S Fayette St
Beckley, WV 25801-6620
Phone
(304) 256-4604
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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 106878 WV Primary

Addresses

Primary practice location

1129 S Fayette St
Beckley, WV 25801-6620

Mailing address

176 Davis St
Beckley, WV 25801-3522
Phone (304) 673-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20201105002923 WV Practitioner - Nurse Practitioner 1355751140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 6608785795, 36 clinicians

Practice addresses (Care Compare)

252 Rural Acres Dr
Beckley, WV 25801-3503

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
Quality
92.57
Promoting interoperability
100
Improvement activities
40
Cost
69.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 30, 2020 Accepting new patients
Community Health Systems Inc CurrentSince Mar 11, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 30, 2020 Accepting new patients
Associates in OB GYN, Inc Past Accepting new patients

Locations

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 487-7503

1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004

250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

1129 S Fayette St
Beckley, WV 25801
Phone (304) 256-4604

Interoperability endpoints

  • Direct secure messaging: holly.tonelli.1@14333.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1285243048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 DAVIS ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013522",
            "telephone_number": "304-673-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 S FAYETTE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016620",
            "telephone_number": "304-256-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONELLI",
        "first_name": "HOLLY",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.