Holly Ellen Mault, ANP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

337423 Issued in NY

Practice address

45 Foster Rd
Hopewell Junction, NY 12533-6123

Phone

(845) 226-4590

Fax

(845) 226-2465

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Penobscot Valley HospitalGroup PAC ID 8426942889, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Health & Counseling Services Home health agency, Bangor, ME, CCN 207026
• Penobscot Valley Hospital Hospital, Lincoln, ME, CCN 201303
• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
• Millinocket Regional Hospital Hospital, Millinocket, ME, CCN 201307
• St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
• Direct secure messaging: holly.mault.1@5664.direct.athenahealth.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

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.

• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  Medicare reassignment Care Compare group NPD
• Penobscot Valley Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lincoln, ME
  • NPI 1700805868
  NPD

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

• Community Health and Counseling Services

  • Home Health Agency
  • Bangor, ME
  • NPI 1588720866
  Care Compare affiliation
• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1265443196
  Care Compare affiliation
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1275646150
  Care Compare affiliation
• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  Care Compare affiliation
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1659469310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 LAKE SHORE DR",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501814",
            "telephone_number": "845-782-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOSTER RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336123",
            "telephone_number": "845-226-4590",
            "fax_number": "845-226-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULT",
        "first_name": "HOLLY",
        "middle_name": "ELLEN",
        "credential": "ANP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole C. Marin, M.S., CCC-SLP
• Mark Martell
• Deanna M Martinelli
• Teresa Martino
• Denice Mateo-Delhall, LCSW
• Karen McCarthy
• Carly Kathryn McCollow, LMSW
• Kayla McGrath
• Jon L McKenna, MPT
• John Joseph McLynn, D. C.

• Family Nurse Practitioner in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.