Holly Heist Meskimen Clark, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60726169 Issued in WA

Practice address

115 Sunnyside Ave
Granger, WA 98932

Phone

(509) 865-6450

Fax

(509) 854-1919

NPI assigned

Sep 15, 2008

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

Other names 1

• Holly Heist Meskimen Former name

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.

• Summitview Urgent Care Inc

  • Urgent Care Clinic/Center
  • Yakima, WA
  • NPI 1326651191

  WA

  Medicare reassignment Care Compare group
• Kittitas Valley Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Ellensburg, WA
  • NPI 1578926770

  WA

  Medicare reassignment NPD
• Compassion Family Medicine, PLLC

  • Primary Care Clinic/Center
  • Yakima, WA
  • NPI 1447719703

  WA

  Medicare reassignment
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637

  WA

  Medicare reassignment
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184
  NPD
• Sunnyside Community Hospital Association

  • Rural Health Clinic/Center
  • Prosser, WA
  • NPI 1912305905
  NPD

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summitview Urgent Care Inc 8 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1447409446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUNNYSIDE AVE",
            "city": "GRANGER",
            "state": "WA",
            "postal_code": "98932",
            "telephone_number": "509-865-6450",
            "fax_number": "509-854-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUNNYSIDE AVE",
            "city": "GRANGER",
            "state": "WA",
            "postal_code": "98932",
            "telephone_number": "509-865-6450",
            "fax_number": "509-854-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HOLLY",
        "middle_name": "HEIST MESKIMEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60726169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MESKIMEN",
            "middle_name": "HEIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ona Carolyn Allen, NP
• Rose Almanza
• Aketzalli Arteaga
• Victorine Egbe Bate, NURSE PRACTITIONER
• Carmen C Bowie, RN, MSN, APRN, NP-C
• Cassendre Gibbs, CRNP
• Granger School District
• M.R.J. N Associates
• Motivational and Engagement Services
• Mirka Laura Perez

• All providers in Granger, WA
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.