Individual provider Active NPI

Holly Nilsson, CRNP-FAMILY

  • Family Nurse Practitioner
  • Hanover, MD
National Provider Identifier
1295408581
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R170648 Issued in MD
Practice address
7250 Parkway Drive
Suite 500
Hanover, MD 21076
Phone
(443) 949-0814
NPI assigned
Aug 1, 2021
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 R170648 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Mdics Rehabilitative Services LLC CurrentSince Mar 14, 2023 Accepting new patients
Mdics at Civista LLC CurrentSince Mar 14, 2023 Accepting new patients
Adfinitas Health at Encompass Rehab LLC CurrentSince Mar 18, 2024 Accepting new patients
CRH MD Management LLC CurrentSince Dec 1, 2021 Accepting new patients
CRH MD Management LLC CurrentSince Feb 1, 2022 Accepting new patients
CRH MD Management, LLC CurrentSince Dec 1, 2021 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
Laurel, MD 20707
Phone (240) 786-6684

14421 Baltimore Ave
#12202
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

Organizations & group practices 8

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": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1295408581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DRIVE",
            "address_2": "SUITE 500",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "21076",
            "telephone_number": "443-949-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DRIVE",
            "address_2": "SUITE 500",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "21076",
            "telephone_number": "443-949-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R170648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.