Individual provider Active NPI

Holly Christensen, ARNP

  • Family Nurse Practitioner
  • Earling, IA
National Provider Identifier
1386808160
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-107223 Issued in IA
Practice address
100 Industrial Dr
Earling, IA 51530-5213
Phone
(712) 755-5130
NPI assigned
Jul 11, 2008
Last updated
Feb 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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 A-107223 IA Primary

Addresses

Primary practice location

100 Industrial Dr
Earling, IA 51530-5213

Mailing address

100 Industrial Dr
Earling, IA 51530-5213

Other names 1

  • Holly Siverly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20081029000734 IA Practitioner - Nurse Practitioner 3173682564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass County Memorial HospitalGroup PAC ID 5294634994, shared by 9 NPIs, 67 clinicians

Practice addresses (Care Compare)

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.8 of 100Reported as group
Quality
85.99
Promoting interoperability
96
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-107223IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Memorial Hospital CurrentSince Dec 22, 2018 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Cass County Memorial Hospital Current Accepting new patients
Cass County Memorial Hospital CurrentSince Dec 22, 2018 Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

Interoperability endpoints

  • Direct secure messaging: hchristensen162050@uihcdirect.org
  • Direct secure messaging: hchristensen846979@direct.unitypoint.org

Organizations & group practices 4

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1386808160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDUSTRIAL DR",
            "city": "EARLING",
            "state": "IA",
            "postal_code": "515305213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDUSTRIAL DR",
            "city": "EARLING",
            "state": "IA",
            "postal_code": "515305213",
            "telephone_number": "712-755-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "HOLLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-107223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "SIVERLY",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Earling, IA

Sources for this page

Verify at the official NPI Registry.