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

Last updated

Mar 16, 2017By the provider in NPPES

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

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summitview Urgent Care IncGroup PAC ID 7911316526, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Summitview Urgent Care Inc

  • Urgent Care Clinic/Center
  • Yakima, WA
  • NPI 1326651191
  Medicare reassignment Care Compare group
• Kittitas Valley Urgent Care PLLC

  dba Kittitas Valley Urgent Care

  • Urgent Care Clinic/Center
  • Ellensburg, WA
  • NPI 1578926770
  Medicare reassignment NPD
• Compassion Family Medicine, PLLC

  • Primary Care Clinic/Center
  • Yakima, WA
  • NPI 1447719703
  Medicare reassignment
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637
  Medicare reassignment
• Sunnyside Community Hospital Association

  dba Astria Health Center

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

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

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
• Javier Humberto Lozano Torres
• M.R.J. N Associates
• Motivational and Engagement Services

• Physician Assistant in Granger, WA
• Providers in Granger, WA by specialty
• 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.