Holly Nilsson, CRNP-FAMILY
Individual provider Active NPI Family Nurse Practitioner · Hanover, MD
NPI 1295408581 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1295408581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R170648 (MD)
- Practice address
- 7250 Parkway Drive
Suite 500
Hanover, MD 21076 - Phone
- (443) 949-0814
- NPI assigned
- Aug 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210920000084 | MD | Practitioner - Nurse Practitioner | 8628475670 | Reassigns benefits to 3 organizations |
| I20220308000994 | DC | Practitioner - Nurse Practitioner | 8628475670 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics Rehabilitative Services LLC | Current |
Accepting new patients | |
| CRH MD Management LLC | Current |
Accepting new patients | |
| CRH MD Management LLC | Current |
Accepting new patients | |
| Adfinitas Health at Encompass Rehab LLC | Current |
Accepting new patients | |
| Mdics Rehabilitative Services - Ltcaco LLC | Current |
Accepting new patients | |
| CRH MD Management, LLC | Current |
Accepting new patients | |
| Mdics at Civista LLC | Current |
Accepting new patients | |
| Statcare Group LLC | Past | Accepting new patients |
Locations
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
590 Lanier Ave W
Fayetteville, GA 30214
2700 Southaven Rd
Annapolis, MD 21401
Phone (410) 349-5100
3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535
17351 Melford Blvd
Bowie, MD 20715
Phone (240) 548-1300
9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600
10845 Town Center Blvd
Ste 108
Dunkirk, MD 20754
Phone (410) 286-7911
6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575
7250 Parkway Dr
Ste 500
Hanover, MD 21076
Phone (410) 999-1130
121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133
14421 Baltimore Ave
#12202
Laurel, MD 20707
Phone (240) 786-6684
14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684
11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094
2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300
14090 Hg Trueman Rd
#1300
Solomons, MD 20688
Phone (410) 394-2800
14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R170648 | MD | Yes |
Addresses
Primary practice location
7250 Parkway Drive
Suite 500
Hanover, MD 21076
Mailing address
7250 Parkway Drive
Suite 500
Hanover, MD 21076
Phone (443) 949-0814
Other providers in Hanover, MD
- New Life Addiction Counseling Services Inc
- New Normal Counseling and Consulting Services
- New Normal Counseling Center
- New Normal Counseling Center
- Angelica Newsome
- Queendoline Njilifac Epse Ndaseh
- Tuobatum Nju Ghong
- Ingrid Ntiege
- Uzoma Stephen Nwaogwugwu Jr.
- Chukwuemeka J Nwodim
All providers in Hanover, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.