Holly Ellen Pela, WHNP-BC, DNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP11555 Issued in AZ

Practice address

8415 N Pima Rd
Scottsdale, AZ 85258-4480

Phone

(480) 434-6565

NPI assigned

Jul 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Holly Ellen Marietta Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
• Direct secure messaging: holly.pela.1@19050.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4

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.

• Genesis OB GYN PLLC

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
  • NPI 1992994214

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Camelback Womens Health, PC

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1447378518

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1699252452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9232 N CAMINO VISTA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284816",
            "telephone_number": "602-488-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "480-434-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELA",
        "first_name": "HOLLY",
        "middle_name": "ELLEN",
        "credential": "WHNP-BC, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP11555",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AZ",
            "license": "AP11555",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP11555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MARIETTA",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Logan Peevy, NCC, LAC
• Tara Pegram, M.S., CCC-SLP
• Mary P Pehling
• Hannah Pekarski, MOT, OTR/L
• Carolyn Pela, M.S., L.M.F.T.
• Kerri Lynn Peller, RN
• Myriam Pelletier, MS
• Tina M Pelopida, M.D.
• Jody L Pelusi, N.P
• Pelvic Medicine and Reconstructive Surgery LLC

• Women's Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.