Individual provider Active NPI

Holly M Strassner, R.N.P

  • Nurse Practitioner
  • O'Fallon, MO
National Provider Identifier
1528209319
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG02170163 Issued in MO
Practice address
263 Fairway Green Dr
O Fallon, MO 63368-4271
Phone
(636) 542-1199
Fax
(636) 594-2022
NPI assigned
Mar 9, 2009
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG02170163 MO Primary
Family Nurse Practitioner 363LF0000X 02170163 MO
Gerontology Nurse Practitioner 363LG0600X AG02170163 MO
Medical-Surgical Registered Nurse 163WM0705X AG02170163 MO
Registered Nurse First Assistant 163WR0006X 143433 MO

Addresses

Primary practice location

263 Fairway Green Dr
O Fallon, MO 63368-4271

Mailing address

263 Fairway Green Dr
O Fallon, MO 63368-4271
Phone (636) 542-1199

Other names 1

  • Ms. Holly Michelle Watkins Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address holly.strassner.p3@direct.scosa.nextgenshare.com
Direct Messaging Address holly.strassner.p3@direct.scosa.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20170517000659 MO Practitioner - Nurse Practitioner 6204103542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
143433MOMDRegistered Nurse First Assistant
AG02170163MOMDNurse Practitioner
02170163MOMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: holly.strassner@abj.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1528209319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FAIRWAY GREEN DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684271",
            "telephone_number": "636-542-1199",
            "fax_number": "636-594-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FAIRWAY GREEN DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684271",
            "telephone_number": "636-542-1199",
            "fax_number": "636-594-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRASSNER",
        "first_name": "HOLLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "AG02170163",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "02170163",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "AG02170163",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MO",
            "license": "AG02170163",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "143433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.strassner.p3@direct.scosa.nextgenshare.com",
            "affiliation": "N",
            "address_1": "108 Cloverleaf Meadows Ct",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633664190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.strassner.p3@direct.scosa.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "108 Cloverleaf Meadows Ct",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633664190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "WATKINS",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "RN,BSN,CNOR,RNFA,CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.