Individual provider Active NPI

Holli Marie Jarzabek, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland Park, FL
National Provider Identifier
1639649544
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9396034 Issued in FL
Practice address
5757 N Dixie Hwy
Oakland Park, FL 33334-4135
Phone
(954) 734-2000
NPI assigned
Dec 4, 2018
Last updated
Dec 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9396034 FL Primary

Addresses

Primary practice location

5757 N Dixie Hwy
Oakland Park, FL 33334-4135

Mailing address

216 SW 11TH St
Fort Lauderdale, FL 33315-1229
Phone (860) 471-9677

Other names 1

  • Mrs. Holli Marie Yuchkovski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190306002820 FL Practitioner - Nurse Practitioner 6800135930 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Lauderdale Hospital IncGroup PAC ID 7911983853, 10 clinicians

Practice addresses (Care Compare)

5757 N Dixie Hwy
Oakland Park, FL 33334-4135
Phone (954) 734-2000

Merit-based Incentive Payment System (MIPS)

Final score
95.64 of 100Reported as group
Quality
69.31
Improvement activities
40
Cost
97.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9396034FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stedfast Medical Services LLC CurrentSince Nov 1, 2024 Accepting new patients
Vip Integrative Health Care LLC Psychiatric/Mental Health CurrentSince Oct 7, 2019 Accepting new patients
Fort Lauderdale Hospital Inc. CurrentSince Jan 22, 2019 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste D720
Boynton Beach, FL 33437
Phone (561) 264-0802

5757 N Dixie Hwy
Oakland Park, FL 33334
Phone (954) 463-4321

3365 Burns Rd
Ste 203
Palm Beach Gardens, FL 33410
Phone (561) 412-9373

420 S State Road 7
Ste 112
Wellington, FL 33414
Phone (561) 748-5456

3600 Forest Hill Blvd
Ste 3
West Palm Beach, FL 33406
Phone (561) 439-6644

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, 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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1639649544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SW 11TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151229",
            "telephone_number": "860-471-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344135",
            "telephone_number": "954-734-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARZABEK",
        "first_name": "HOLLI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9396034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLI",
            "last_name": "YUCHKOVSKI",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.