Individual provider Active NPI

Holly Hensley, PA-C

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1831903848
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA19221 Issued in TX
Practice address
12121 Richmond Ave Ste 101
Houston, TX 77082-2420
Phone
(281) 741-5910
Fax
(713) 583-1113
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA19221 TX Primary

Addresses

Primary practice location

12121 Richmond Ave Ste 101
Houston, TX 77082-2420

Mailing address

PO Box 980790
Houston, TX 77098-0790
Phone (281) 741-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251029003582 TX Practitioner - Physician Assistant 8820587967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical Associates LLCGroup PAC ID 0547520876, 3 clinicians

Practice addresses (Care Compare)

12121 Richmond Ave
Houston, TX 77082-2420
Phone (281) 741-5910

Hospital & facility affiliations

  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19221TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates LLC CurrentSince Sep 3, 2025 Accepting new patients
Jason R Bailey MD PA CurrentSince Oct 12, 2025 Accepting new patients

Locations

12121 Richmond Ave
Ste 101
Houston, TX 77082
Phone (281) 741-5910

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.

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1831903848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980790",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770980790",
            "telephone_number": "281-741-5910",
            "fax_number": "713-583-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822420",
            "telephone_number": "281-741-5910",
            "fax_number": "713-583-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "HOLLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA19221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.