Hollie Johnson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23659.1553 Issued in WY

Practice address

8185 State Highway 789
Lander, WY 82520-2942

Phone

(307) 206-9300

Fax

(970) 871-1234

NPI assigned

Nov 21, 2016

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 CO

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Solutions Glendale PCGroup PAC ID 7517103906, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Urgent Care Solutions Glendale, P.C.

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075
  Medicare reassignment Care Compare group NPD
• Primary Care Solutions P.C.

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1871923250
  Medicare reassignment NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  Medicare reassignment NPD
• Urgent Care Solutions Glendale, PC

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1568904100
  NPD
• Primary Care Solutions P.C.

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1851274567
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1306389432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MARKETPLACE PLZ STE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804871841",
            "telephone_number": "970-879-6663",
            "fax_number": "970-871-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8185 STATE HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202942",
            "telephone_number": "307-206-9300",
            "fax_number": "970-871-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 S Cottonwood St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826043368",
            "country_code": "US",
            "telephone_number": "307-247-1989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HOLLIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "23659.1553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hart Jacobsen, M.D.
• Jacques D. Beveridge MD
• Jacques D. Beveridge MD, Inc.
• Cristina Jensen, LPC
• Sue Jezek
• Kelly Johnson, LCSW
• Troy R Jones, MD
• Tina Jordan, COTA
• Heather Marie Judkins, DNP
• Tasia Ray Juoni

• Family Nurse Practitioner in Lander, WY
• Providers in Lander, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.