Individual provider Active NPI

Hollie E Cacace, CRNP

  • Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1659000917
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R218565 Issued in MD
Practice address
260 Gateway Dr Unit 7-8C
Bel Air, MD 21014-4268
Phone
(443) 601-6612
NPI assigned
Jun 9, 2022
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R218565 MD Primary

Addresses

Primary practice location

260 Gateway Dr Unit 7-8C
Bel Air, MD 21014-4268

Mailing address

260 Gateway Dr Unit 7-8C
Bel Air, MD 21014-4268
Phone (443) 601-6612

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
I20221102002648 MD Practitioner - Nurse Practitioner 7012384134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.99 of 100Reported as group
Quality
81.67
Promoting interoperability
100
Improvement activities
40
Cost
74.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R218565MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Primary Care,LLC CurrentSince Oct 17, 2022 Accepting new patients
Chesapeake EMS of Maryland Inc. PastSince Jun 1, 2022 Accepting new patients

Locations

615 W Macphail Rd
Ste 206
Bel Air, MD 21014
Phone (410) 638-5101

2027 Pulaski Hwy
Ste 203
Hvre de Grace, MD 21078
Phone (410) 658-4099

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1659000917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR UNIT 7-8C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144268",
            "telephone_number": "443-601-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GATEWAY DR UNIT 7-8C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144268",
            "telephone_number": "443-601-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACACE",
        "first_name": "HOLLIE",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R218565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.