Holly Nicole Zeller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.002645 Issued in OH

Practice address

395 Interstate Dr
Manchester, TN 37355-3108

Phone

(872) 231-3162

NPI assigned

Aug 10, 2007

Last updated

Oct 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1528379195

  OH

  Medicare reassignment
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1316829146
  NPD

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1821280181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553108",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Corporate Woods Pkwy",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446858730",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Wadsworth Rd",
            "address_2": "Rundle Building",
            "address_purpose": "LOCATION",
            "city": "Wadsworth",
            "state": "OH",
            "postal_code": "442819585",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3051 Graham Rd",
            "address_purpose": "LOCATION",
            "city": "Stow",
            "state": "OH",
            "postal_code": "442243654",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3780 Medina Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442569312",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9150 Market Square Dr",
            "address_purpose": "LOCATION",
            "city": "Streetsboro",
            "state": "OH",
            "postal_code": "442414571",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 S Smith Rd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443339270",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "HOLLY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12161909",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067603",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitzi L. Wood-Von Mizener, PSYD
• Woodland Wellness, Inc
• Asheia Wynne, PHARM.D.
• Harrison Y.N. Yang, M.D., FACP, FACC
• Darryl Young, FNP

• Physician Assistant in Manchester, TN
• Providers in Manchester, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.