Individual provider Active NPI

Holly Maureen Milligan Hawkins, CPNP-PC

  • Pediatric Nurse Practitioner
  • Bend, OR
National Provider Identifier
1821602541
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
202200107NP-PP Issued in OR
Practice address
1001 SW Disk Dr Ste 250
Bend, OR 97702-3754
Phone
(541) 859-3550
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95014652 CA
Pediatric Nurse Practitioner 363LP0200X 202200107NP-PP OR Primary

Addresses

Primary practice location

1001 SW Disk Dr Ste 250
Bend, OR 97702-3754

Mailing address

1001 SW Disk Dr Ste 250
Bend, OR 97702-3754
Phone (541) 859-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20221115003612 OR Practitioner - Nurse Practitioner 2961813753 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95014652CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes County Oregon CurrentSince Oct 2, 2023 Accepting new patients
County of Santa Clara CurrentSince Nov 24, 2020 Accepting new patients
County of Santa Clara Current Accepting new patients
Deschutes County Oregon CurrentSince Oct 2, 2023 Accepting new patients
County of Santa Clara CurrentSince Nov 24, 2020 Accepting new patients
Mosaic Community Health CurrentSince Mar 7, 2022 Accepting new patients
Heartfelt Pediatrics, LLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

600 SW Columbia St
Ste 6250
Bend, OR 97702

2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400

1001 SW Disk Dr
Ste 250
Bend, OR 97702
Phone (541) 293-1325

2084 NE Professional Ct
Bend, OR 97701
Phone (541) 322-5753

375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026

1314 SW Kalama Ave
Redmond, OR 97756
Phone (541) 504-3589

Interoperability endpoints

  • Direct secure messaging: holly.milligan.1@32160.direct.athenahealth.com

Organizations & group practices 7

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1821602541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SW DISK DR STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023754",
            "telephone_number": "541-859-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW DISK DR STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023754",
            "telephone_number": "541-859-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "HOLLY",
        "middle_name": "MAUREEN MILLIGAN",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95014652",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "202200107NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.