Individual provider Active NPI

Holly A Huelskamp, FNP

  • Nurse Practitioner
  • Farmington, MO
National Provider Identifier
1336229202
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
091129 Issued in MO
Practice address
606 Maple Valley Dr
Farmington, MO 63640-1976
Phone
(573) 756-7779
Fax
(573) 756-6914
NPI assigned
Oct 16, 2006
Last updated
Mar 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 091129 MO Primary

Addresses

Primary practice location

606 Maple Valley Dr
Farmington, MO 63640-1976

Mailing address

406 Jefferson St
Ste Genevieve, MO 63670-1221
Phone (573) 883-9697

Other identifiers 1

IdentifierTypeStateIssuer
429068307MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20051005001202 MO Practitioner - Nurse Practitioner 7911922216 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, shared by 9 NPIs, 74 clinicians

Practice addresses (Care Compare)

753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Phone (573) 883-2782

800 Sainte Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (573) 883-5715

930 Park Dr
Ste Genevieve, MO 63670-1539
Phone (573) 883-7424

990 Park Dr
Ste Genevieve, MO 63670-1539
Phone (573) 883-5151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
091129MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 3, 2015 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
BC Missouri Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Crystal City Emergency Services, LLC Nurse Practitioner Past Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

930 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-7424

990 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-5151

Interoperability endpoints

  • Direct secure messaging: hollyhuelskamp@mhccaremail.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1336229202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 JEFFERSON ST",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701221",
            "telephone_number": "573-883-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-7779",
            "fax_number": "573-756-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUELSKAMP",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "091129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429068307",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.