Bethany Craig Hollar, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Connelly Springs, NC
NPI 1437526175 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1437526175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5007902 (NC)
- Practice address
- 730 Malcolm Blvd Ste 150
Connelly Springs, NC 28612 - Phone
- (828) 874-4600
- Fax
- (828) 874-8900
- NPI assigned
- Aug 28, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ridge Healthcare Medical Group Inc
Practice addresses (Care Compare)
1208 Hickory Blvd SW
Suite 102
Lenoir, NC 28645-6461
Phone (828) 991-3278
Hospital & facility affiliations
- Blue Ridge Healthcare Hospitals, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170410001472 | NC | Practitioner - Nurse Practitioner | 4789960568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current |
Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current |
Accepting new patients |
Locations
1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278
2293 Sugar Hill Rd
Ste D
Marion, NC 28752
Phone (828) 652-8727
2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
695 W Fleming Dr
Morganton, NC 28655
Phone (828) 580-3278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5007902 | NC | Yes |
Addresses
Primary practice location
730 Malcolm Blvd Ste 150
Connelly Springs, NC 28612
Mailing address
730 Malcolm Blvd Ste 150
Connelly Springs, NC 28612-8079
Phone (828) 874-4600
Other practice location 1
2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone (828) 652-8727
Other practice location 2
695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437526175 | Medicaid | NC |
Other providers in Connelly Springs, NC
- Mary Hawkins
- Stephanie Franklin Hazle
- High Country Community Health
- High Country Community Health
- Jessica Ann Reifer Hildebrand
- Amity Holt
- Ashlyn Icenhour
- Alan Fowler Jacks
- Despina Karavolos
- Leslie A Liles
All providers in Connelly Springs, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.