Individual provider Active NPI

Holly Dellinger

  • Adult Health Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1902316599
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704297788 Issued in MI
Practice address
601 John St # 71
Kalamazoo, MI 49007-5341
Phone
(269) 341-8822
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704297788 MI Primary

Addresses

Primary practice location

601 John St # 71
Kalamazoo, MI 49007-5341

Mailing address

601 John St # 71
Kalamazoo, MI 49007-5341
Phone (269) 341-8822

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20171109003566 MI Practitioner - Nurse Practitioner 7618233461 Reassigns benefits to 4 organizations

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

Practice addresses (Care Compare)

7100 Stadium Dr
Kalamazoo, MI 49009-9423
Phone (269) 345-0273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704297788MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Care of Southwest Michigan CurrentSince Dec 1, 2022 Accepting new patients
Hospice Care of Southwest Michigan CurrentSince Dec 1, 2022 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 18, 2017 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Feb 1, 2022 Accepting new patients
Northstar Palliative Care Inc CurrentSince Jan 1, 2026 Accepting new patients
Bronson Battle Creek Hospital Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients

Locations

2366 Oak Valley Dr
Ann Arbor, MI 48103
Phone (734) 662-5999

2366 Oak Valley Dr
#A
Ann Arbor, MI 48103

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

7100 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 345-0273

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#71
Kalamazoo, MI 49007
Phone (269) 341-7339

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

2255 W Centre Ave
Portage, MI 49024
Phone (269) 241-2700

Interoperability endpoints

  • Direct secure messaging: hdellinger95755@direct.bronsonhg.org
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 6

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": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1902316599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST # 71",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST # 71",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLINGER",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704297788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.