Individual provider Active NPI

Holly Kollman

  • Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1790144384
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP18857 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-1582
Fax
(216) 844-5759
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.358576- OH
Nurse Practitioner 363L00000X APRN.CNP18857 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave
Mailstop SCC 1015
Cleveland, OH 44106-1716
Phone (216) 844-3951

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address hollykollman@uhhs.allscriptsdirect.net
Direct Messaging Address hollykollman@uhhs.allscriptsdirect.net
Direct Messaging Address hollykollman@uhhs.allscriptsdirect.net
Direct Messaging Address hollykollman@uhhs.allscriptsdirect.net
Direct Messaging Address hollykollman@uhhs.allscriptsdirect.net
Direct Messaging Address hollykollman@uhhs.allscriptsdirect.net
Direct Messaging Address holly.kollman@uhps.allscriptsdirect.net
Direct Messaging Address holly.kollman@uhps.allscriptsdirect.net
Direct Messaging Address holly.kollman@uhps.allscriptsdirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420002300 OH Practitioner - Nurse Practitioner 2961700182 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
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.358576-OHMDRegistered Nurse
APRN.CNP18857OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Mar 24, 2016 Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients

Locations

3909 Orange Pl
Ste 4600
Beachwood, OH 44122
Phone 21689617003

3909 Orange Pl
Ste 1100
Beachwood, OH 44122
Phone (216) 896-1755

11100 Euclid Ave
Cleveland Heights, OH 44106

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

5885 Landerbrook Dr
Mayfield Heights, OH 44124
Phone (216) 446-2944

9318 State Route 14
Streetsboro, OH 44241
Phone (330) 626-4080

5133 Ridge Rd
Ste 5
Wadsworth, OH 44281
Phone (330) 239-7250

5133 Ridge Rd
Wadsworth, OH 44281
Phone (330) 239-7210

29325 Health Campus Dr
Ste 1
Westlake, OH 44145
Phone (440) 835-6996

Interoperability endpoints

  • Direct secure messaging: hkollman41446@ehrdirect.uhhospitals.org

Organizations & group practices 2

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": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1790144384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "MAILSTOP SCC 1015",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-3951",
            "fax_number": "216-201-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1582",
            "fax_number": "216-844-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLMAN",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.358576-",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP18857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollykollman@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollykollman@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5885 Landerbrook Dr",
            "city": "Mayfield Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollykollman@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5133 Ridge Rd",
            "city": "Wadsworth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442818077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollykollman@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollykollman@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5133 Ridge Rd",
            "city": "Wadsworth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442818077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollykollman@uhhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5885 Landerbrook Dr",
            "city": "Mayfield Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.kollman@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.kollman@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5133 Ridge Rd",
            "city": "Wadsworth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442818077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.kollman@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5885 Landerbrook Dr",
            "city": "Mayfield Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.