Active NPI
Holly Mansur, FNP
- Clinic/Center
- Abilene, TX
National Provider Identifier
1477366607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HOLLY MANSUR, FNP
- Practice address
- 3202 S Willis St
Abilene, TX 79605-6650 - Phone
- (325) 695-3233
- NPI assigned
- Jan 30, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Holly Mansur, FNP
- Title
- Owner/FNP
- Phone
- (325) 695-3233
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Abilene, TX
- NPI 1386716686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250722002375 | TX | Part B Supplier - Clinic/Group Practice | 8628584141 |
Receives reassigned benefits from 1 practitioner Practice locations: Abilene, TX |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3202 S Willis St
Abilene, TX 79605-6650
Mailing address
4525 Crosley LN
Abilene, TX 79606-4933
Phone (858) 784-1711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2025.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1477366607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 CROSLEY LN",
"city": "ABILENE",
"state": "TX",
"postal_code": "796064933",
"telephone_number": "858-784-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 S WILLIS ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796056650",
"telephone_number": "325-695-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLY MANSUR, FNP",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-30",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "MANSUR",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "OWNER/FNP",
"authorized_official_telephone_number": "325-695-3233",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.