Individual provider Active NPI

Mary Ann Hollenback, APN

  • Family Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1841339405
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277-000554 Issued in IL
Practice address
2020 Ogden Ave Ste 400
Aurora, IL 60504-5898
Phone
(630) 692-5563
Fax
(630) 692-5564
NPI assigned
Feb 6, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277-000554 IL Primary

Addresses

Primary practice location

2020 Ogden Ave Ste 400
Aurora, IL 60504-5898

Mailing address

2020 Ogden Ave Ste 400
Aurora, IL 60504-5898
Phone (630) 692-5563

Other identifiers 2

IdentifierTypeStateIssuer
IL5966OtherILMEDICARE PTAN (GROUP)
IL5966004OtherILMEDICARE PTAN (INDIVIDUAL)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070220000583 IL Practitioner - Nurse Practitioner 7214039312 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1100 W Veterans Pkwy
Yorkville, IL 60560-4728

1653 W Congress Pkwy
177 Murdock
Chicago, IL 60612-3833
Phone (312) 947-0100

2000 Ogden Ave
Aurora, IL 60504-5893

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-4800

2020 Ogden Ave
Aurora, IL 60504-5894
Phone (630) 692-5060

472 N Sugar Grove Pkwy
Rush Copley Medical Group
Sugar Grove, IL 60554-8107
Phone (630) 466-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277-000554ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Hospital Association CurrentSince Jul 6, 2011 Accepting new patients
Rush-Copley Medical Group, NFP CurrentSince Apr 1, 2014 Accepting new patients
Edward Health Ventures CurrentSince Aug 28, 2019 Accepting new patients
Rush University Medical Group CurrentSince Dec 12, 2022 Accepting new patients
Rush-Copley Medical Group NFP CurrentSince Apr 1, 2014 Accepting new patients
Central Dupage Hospital Association CurrentSince Jul 6, 2011 Accepting new patients
Edward Health Ventures CurrentSince Aug 28, 2019 Accepting new patients
Rush Copley Medical Group Past Accepting new patients
Dupage Health Services, Inc. PastSince Sep 19, 2012 Accepting new patients

Locations

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2020 Ogden Ave
Ste 120
Aurora, IL 60504
Phone (630) 375-2852

2020 Ogden Ave
Ste 400
Aurora, IL 60504
Phone (630) 375-2925

1620 W Harrison St
Chicago, IL 60612
Phone (312) 942-4200

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1653 W Congress Pkwy
#177
Chicago, IL 60612
Phone (312) 947-0229

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1841339405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045898",
            "telephone_number": "630-692-5563",
            "fax_number": "630-692-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045898",
            "telephone_number": "630-692-5563",
            "fax_number": "630-692-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBACK",
        "first_name": "MARY ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-09-29",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277-000554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "IL5966",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "IL5966004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.