Holly Catherine Girdeen, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AG08210126 Issued in MN

Practice address

W3719 330TH Ave
Maiden Rock, WI 54750-8900

Phone

(715) 220-8711

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MN

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

Merit-based Incentive Payment System (MIPS)

Final score

97.69 of 100Reported as group

Quality

91.97

Improvement activities

40

Cost

69.67

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Northern Lights Health LLC

  • Primary Care Nurse Practitioner
  • Waconia, MN
  • NPI 1316581440
  Medicare reassignment NPD
• Waterside Healthcare & Wellness, LLC

  • Family Nurse Practitioner
  • Waconia, MN
  • NPI 1780223743
  NPD

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1326700360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3719 330TH AVE",
            "city": "MAIDEN ROCK",
            "state": "WI",
            "postal_code": "547508900",
            "telephone_number": "715-220-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3719 330TH AVE",
            "city": "MAIDEN ROCK",
            "state": "WI",
            "postal_code": "547508900",
            "telephone_number": "715-220-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRDEEN",
        "first_name": "HOLLY",
        "middle_name": "CATHERINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "AG08210126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ryan

• Primary Care Nurse Practitioner in Maiden Rock, WI
• Providers in Maiden Rock, WI by specialty
• Primary Care Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.