Holly Ann Fisk, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Johnson City, TN
NPI 1487329298 · NPPES record last updated Feb 20, 2026
Key facts
- NPI
- 1487329298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 37227 (TN)
- Practice address
- 1 Professional Park Dr Ste 21
Johnson City, TN 37604-6909 - Phone
- (423) 232-6900
- Fax
- (423) 232-6903
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain States Health Alliance
Practice addresses (Care Compare)
1 Professional Park Dr
Suite 21
Johnson City, TN 37604-6909
Phone (423) 232-6909
Hospital & facility affiliations
- Johnson City Medical Center
- Franklin Woods Community Hospital
- Indian Path Community Hospital
- Wellmont Holston Valley Medical Center
- Sycamore Shoals Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20241219003145 | TN | Practitioner - Nurse Practitioner | 8224426705 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FISK-7UP2P | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain States Health Alliance | Current | Accepting new patients | |
| Mountain States Health Alliance | Current |
Accepting new patients | |
| Mountain States Health Alliance | Current |
Accepting new patients |
Locations
1 Professional Park Dr
Ste 21
Johnson City, TN 37604
Phone (423) 232-6900
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 37227 | TN | Yes |
| Family Nurse Practitioner | 363LF0000X | FISK-7UP2P | NC |
Addresses
Primary practice location
1 Professional Park Dr Ste 21
Johnson City, TN 37604-6909
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
406 Fork Mountain Rd
Roan Mountain, TN 37687-3825
Phone (828) 789-9552
Other providers in Johnson City, TN
- First Tennessee Development District
- First Tennessee Human Resource Agency
- First Tennessee Human Resource Agency
- Emily Fisher
- Neil Allan Fisher
- Kinner Lanier Flaglor
- Nancy Jo Flaherty
- Alicia D Flanary
- Ariel Flanary
- Brittany Flanary
All providers in Johnson City, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2026. 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.