Individual provider Active NPI

Hannah Holmes, MS, RN, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1851789275
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012365 Issued in IL
Practice address
3450 S Archer Ave
Chicago, IL 60608-6837
Phone
(773) 523-1000
Fax
(773) 843-1553
NPI assigned
Jan 7, 2015
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012365 IL Primary
Registered Nurse 163W00000X 041395490 IL

Addresses

Primary practice location

3450 S Archer Ave
Chicago, IL 60608-6837

Mailing address

3450 S Archer Ave
Chicago, IL 60608-6837
Phone (773) 523-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hholmes7923@direct.achn.net Direct

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
I20150314000289 IL Practitioner - Nurse Practitioner 8820314610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041395490ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jan 26, 2015 Accepting new patients
Access Community Health Network CurrentSince Jan 26, 2015 Accepting new patients
Access Community Health Network Current Accepting new patients

Locations

3450 S Archer Ave
Chicago, IL 60608
Phone (773) 376-1200

600 W Fulton St
Chicago, IL 60661
Phone (312) 526-2100

Interoperability endpoints

  • Direct secure messaging: hholmes7923@direct.achn.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1851789275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086837",
            "telephone_number": "773-523-1000",
            "fax_number": "773-843-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086837",
            "telephone_number": "773-523-1000",
            "fax_number": "773-843-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "HANNAH",
        "credential": "MS, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012365",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041395490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hholmes7923@direct.achn.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3450 S Archer Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606086837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.