Individual provider Active NPI

Alicia Leslie Hollars, FNP

  • Family Nurse Practitioner
  • Montpelier, IN
National Provider Identifier
1851885701
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008039A Issued in IN
Practice address
121 E High St
Montpelier, IN 47359-1105
Phone
(765) 728-2421
Fax
(765) 728-8564
NPI assigned
Jun 14, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 71008039A IN Primary

Addresses

Primary practice location

121 E High St
Montpelier, IN 47359-1105

Mailing address

3398 S 700 E
Marion, IN 46953-9555
Phone (765) 618-3765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180807003650 IN Practitioner - Nurse Practitioner 5597013557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard G Ingram, MD, IncGroup PAC ID 4880662279, 2 clinicians
US Therapy IncGroup PAC ID 6507893187, 81 clinicians

Practice addresses (Care Compare)

121 E High St
Montpelier, IN 47359-1105
Phone (765) 728-2421

3607 N Everbrook LN
Muncie, IN 47304-5220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008039AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard G Ingram, MD, Inc CurrentSince Jul 30, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

121 E High St
Montpelier, IN 47359
Phone (765) 728-2421

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.

Hospital & facility affiliations 6

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1851885701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3398 S 700 E",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469539555",
            "telephone_number": "765-618-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E HIGH ST",
            "city": "MONTPELIER",
            "state": "IN",
            "postal_code": "473591105",
            "telephone_number": "765-728-2421",
            "fax_number": "765-728-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLARS",
        "first_name": "ALICIA",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008039A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, IN

Sources for this page

Verify at the official NPI Registry.