Active NPI
Vanessa Holley
- Family Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.18807-NP
- Practice address
- 122 Wyoming St
Dayton, OH 45409-2731 - Phone
- (937) 223-4461
- Fax
- (937) 449-7603
- NPI assigned
- Mar 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.18807-NP | OH | Primary |
Addresses
Primary practice location
122 Wyoming St
Dayton, OH 45409-2731
Mailing address
122 Wyoming St
Dayton, OH 45409
Phone (937) 223-4461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 Wyoming St
Dayton, OH 45409-2731
Phone (937) 438-8640
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Heart Associates, Inc | Past | Accepting new patients |
Locations
2350 Miami Valley Dr
Ste 310
Dayton, OH 45459
Phone (937) 435-4263
122 Wyoming St
Dayton, OH 45409
Phone (937) 438-8640
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
-
- Critical Access Hospital
- Greenville, OH
- NPI 1184621161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1760844609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 WYOMING ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409",
"telephone_number": "937-223-4461",
"fax_number": "937-449-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 WYOMING ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092731",
"telephone_number": "937-223-4461",
"fax_number": "937-449-7603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-21",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.18807-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.