Individual provider Active NPI

Holly Mulvey

  • Adult Health Nurse Practitioner
  • Port Orange, FL
National Provider Identifier
1639534159
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9203637 Issued in FL
Practice address
339 Sagewood Dr
Port Orange, FL 32127-6718
Phone
(386) 290-1154
NPI assigned
Dec 29, 2015
Last updated
Dec 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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 ARNP9203637 FL Primary

Addresses

Primary practice location

339 Sagewood Dr
Port Orange, FL 32127-6718

Mailing address

339 Sagewood Dr
Port Orange, FL 32127-6718
Phone (386) 290-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170419000781 FL Practitioner - Nurse Practitioner 8123304565 Reassigns benefits to 3 organizations
I20260403000336 NC Practitioner - Nurse Practitioner 8123304565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians
Gerald R Woodard DO PAGroup PAC ID 9436115052, 4 clinicians

Practice addresses (Care Compare)

1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

3512 S Atlantic Ave
Shores Medical Center
Daytona Beach Shores, FL 32118-7639
Phone (386) 767-9544

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40
Cost
61.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9203637FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc CurrentSince Feb 20, 2017 Accepting new patients
Excellence Health, LLC CurrentSince Dec 1, 2021 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Feb 20, 2017 Accepting new patients

Locations

806 S Douglas Rd
Ste 820
Coral Gables, FL 33134
Phone 3054474150 ext. 2221

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137
Phone (386) 446-6060

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1639534159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 SAGEWOOD DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276718",
            "telephone_number": "386-290-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 SAGEWOOD DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276718",
            "telephone_number": "386-290-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9203637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.