Holly Kathleen Casillas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12453 Issued in TX

Practice address

7777 Forest LN Ste C840
Dallas, TX 75230-6868

Phone

(972) 849-0610

NPI assigned

Apr 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly Kathleen Shipp Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hip and Joint Specialists of North Texas PLLCGroup PAC ID 2668635194, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: holly.casillas@hca7.eclinicaldirectplus.com

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.

• Elite Orthopaedics of Irving PLLC

  • Orthopaedic Surgery Physician
  • Irving, TX
  • NPI 1982892105
  Medicare reassignment
• Hip & Joint Specialists of North Texas PLLC

  • Orthopaedic Surgery Physician
  • Dallas, TX
  • NPI 1649542564
  Care Compare group

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

• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1023180502
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  Care Compare affiliation

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679154223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 ALISO RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743603",
            "telephone_number": "972-849-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C840",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306868",
            "telephone_number": "972-849-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "HOLLY",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2022-02-11",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HOLLY.CASILLAS@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7777 Forest Ln Ste C840",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752306868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "SHIPP",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Patrick Cash, D.O.
• Mallory Mulroy Cash, M.D.
• Misty Cash, OT
• Haley Elizabeth Cashon, PA-C
• Carla Casillas, LCSW
• Travis Casillas, NNP-BC
• Kira Casimir, LCSW, LCDC
• Casmir Egemasi
• Scott Cason, CRNA
• Cassandra Jones, M.D. PLLC

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.