Individual provider Active NPI

Holly A Kilby, CRNP-ADULT

  • Adult Health Nurse Practitioner
  • Eldersburg, MD
National Provider Identifier
1548574445
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R169747 Issued in MD
Practice address
1380 Progress Way
Suite 102
Eldersburg, MD 21784-6464
Phone
(410) 794-0257
Fax
(410) 549-7354
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R169747 MD Primary

Addresses

Primary practice location

1380 Progress Way
Suite 102
Eldersburg, MD 21784-6464

Mailing address

1380 Progress Way
Suite 102
Eldersburg, MD 21784-6464
Phone (410) 795-0257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101214001226 MD Practitioner - Nurse Practitioner 6901093004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Johns Hopkins University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7200 3Rd Ave
Sykesville, MD 21784-5201
Phone (410) 795-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R169747MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acts Communities of Maryland, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Acts Communities of Maryland, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

710 Obrecht Rd
Sykesville, MD 21784
Phone (410) 656-6515

7200 Third Ave
Sykesville, MD 21784
Phone (410) 795-8800

420 Delaware Dr
Ft Washington, PA 19034
Phone (215) 661-8330

Interoperability endpoints

  • Direct secure messaging: holly.kilby.p1@direct.actslife.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1548574445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE 102",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-795-0257",
            "fax_number": "410-549-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE 102",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-794-0257",
            "fax_number": "410-549-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBY",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "CRNP-ADULT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R169747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.