Individual provider Active NPI

Holli O Perry, APN

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1689172132
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136330 Issued in TX
Practice address
711 E Lamar Blvd Ste 200
Arlington, TX 76011-3800
Phone
(817) 795-7546
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136330 TX Primary

Addresses

Primary practice location

711 E Lamar Blvd Ste 200
Arlington, TX 76011-3800

Mailing address

711 E Lamar Blvd
Ste 200
Arlington, TX 76011-3800
Phone (817) 795-7546

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180302000049 TX Practitioner - Nurse Practitioner 4587925813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angela Yen Moore MD PAGroup PAC ID 4082686308, 4 clinicians

Practice addresses (Care Compare)

711 E Lamar Blvd
Suite 200
Arlington, TX 76011-3800
Phone 8177957546320

Merit-based Incentive Payment System (MIPS)

Final score
88.08 of 100Reported as group
Quality
78.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Yen Moore, MD PA CurrentSince Feb 1, 2018 Accepting new patients

Locations

711 E Lamar Blvd
Ste 200
Arlington, TX 76011
Phone (817) 795-7546

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1689172132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E LAMAR BLVD",
            "address_2": "STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113800",
            "telephone_number": "817-795-7546",
            "fax_number": "817-385-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E LAMAR BLVD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113800",
            "telephone_number": "817-795-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "HOLLI",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.