Holly Wise Khan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2359611 Issued in MA

Practice address

250 Kendall St Apt 1506
Cambridge, MA 02142-1184

Phone

(203) 940-0951

NPI assigned

Sep 23, 2024

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 MA

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

University of Connecticut School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Incare LLCGroup PAC ID 1153658851, 62 clinicians

Incare Lawrence, PLLCGroup PAC ID 0648678953, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
• Holy Family Hospital Hospital, Methuen, MA, CCN 220080

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
• FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4

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.

• Incare Lawrence PLLC

  • Pulmonary Disease Physician
  • North Andover, MA
  • NPI 1730765496
  Medicare reassignment Care Compare group NPD
• Incare LLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1639655467
  Medicare reassignment Care Compare group NPD
• Incare Tufts PLLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1164305611
  Medicare reassignment NPD

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

• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• LG Newcorp Inc

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991
  Care Compare affiliation

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1376360255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KENDALL ST APT 1506",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421184",
            "telephone_number": "203-940-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 KENDALL ST APT 1506",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421184",
            "telephone_number": "203-940-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HOLLY",
        "middle_name": "WISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2359611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalsa Chiropractic Office P.C.
• Hari Khalsa, D.C.
• Juhi J Khamar, CNM
• Soukhith Khamhoung
• Arshad Khan, MD
• Ushna Mahmud Khan
• Dylan M Khanal, LICSW
• Eugene Kyungmook Khang, DMD
• Uma Khanolkar, D.M.D.
• Afaf A Khayat, DDS, MSD, CAGS

• Nurse Practitioner in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.