Individual provider Active NPI

Holly Conover, CNP

  • Acute Care Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1740635077
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
377956 Issued in OH
Practice address
3125 Transverse Dr
Toledo, OH 43614-8008
Phone
(419) 383-6843
Fax
(419) 383-3338
NPI assigned
Apr 23, 2016
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 377956 OH Primary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.020095 OH

Addresses

Primary practice location

3125 Transverse Dr
Toledo, OH 43614-8008

Mailing address

3125 Transverse Dr RM 12
Toledo, OH 43614-8008

Other identifiers 1

IdentifierTypeStateIssuer
0237656MedicaidOH

Other names 1

  • Holly Vaculik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, TX, AR, AZ, TN, LA, NM8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20161220002511 OH Practitioner - Nurse Practitioner 5698056182 Reassigns benefits to 3 organizations
I20200428001442 MI Practitioner - Nurse Practitioner 5698056182 Reassigns benefits to 1 organization
I20241216001848 TX Practitioner - Nurse Practitioner 5698056182 Reassigns benefits to 1 organization
I20250402003620 AR Practitioner - Nurse Practitioner 5698056182 Reassigns benefits to 1 organization
I20250506000709 AZ Practitioner - Nurse Practitioner 5698056182 Reassigns benefits to 1 organization
I20250905003648 TN Practitioner - Nurse Practitioner 5698056182 Reassigns benefits to 1 organization
I20250909002459 LA Practitioner - Nurse Practitioner 5698056182 Reassigns benefits to 1 organization
I20251217002646 NM Practitioner - Nurse Practitioner 5698056182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (972) 449-0540

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (972) 449-0540

2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (972) 449-0540

3125 Transverse Dr
Toledo, OH 43614-8008
Phone (419) 383-5000

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (972) 449-0540

5959 Park Ave
Memphis, TN 38119-5200
Phone (972) 449-0540

6250 US Hwy 83
Suite 84
Abilene, TX 79606-5215
Phone (972) 449-0540

800 E Dawson St
Tyler, TX 75701-2036
Phone (972) 449-0540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
377956OHMDAcute Care Nurse Practitioner
APRN.CNP.020095OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Mar 10, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Sep 1, 2021 Accepting new patients
University of Toledo Physicians LLC CurrentSince Mar 3, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Feb 19, 2018 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Feb 19, 2018 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients

Locations

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3125 Transverse Dr
Toledo, OH 43614
Phone (419) 383-3771

3125 Transverse Dr
Rm 12
Toledo, OH 43614

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

Interoperability endpoints

  • Direct secure messaging: hvaculik25033@direct.utoledo.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1461369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1740635077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 TRANSVERSE DR RM 12",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 TRANSVERSE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148008",
            "telephone_number": "419-383-6843",
            "fax_number": "419-383-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOVER",
        "first_name": "HOLLY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "377956",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.020095",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237656",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "VACULIK",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.