Individual provider Active NPI

Janet K Hollis, NP

  • Nurse Practitioner
  • New Albany, IN
National Provider Identifier
1902874886
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001804A Issued in IN
Practice address
1919 State St Ste 324
New Albany, IN 47150-6807
Phone
(812) 945-7536
Fax
(812) 945-7542
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001804A IN Primary

Addresses

Primary practice location

1919 State St Ste 324
New Albany, IN 47150-6807

Mailing address

6097 Reason Road
Floyds Knobs, IN 47119
Phone (812) 923-0815

Other identifiers 2

IdentifierTypeStateIssuer
000000548413OtherBCBS
200503420MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhollis23891@bhkydirect.com

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
I20050119001018 IN Practitioner - Nurse Practitioner 1355390097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana Medical College, School of Medicine of Purdue University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

1919 State St
New Albany, IN 47150-6809

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001804AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner Current Accepting new patients
Md2U PLLC Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Past Accepting new patients
Floyd Memorial Hospital and Health Services Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Past Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner Past Accepting new patients
Phoenix Emergency Services of Madison LLC Nurse Practitioner Past Accepting new patients

Locations

5300 State Road 64
Ste 101
Georgetown, IN 47122
Phone (812) 590-6555

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

691 Main St NE
Palmyra, IN 47164
Phone (812) 364-4669

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1902874886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6097 REASON ROAD",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "47119",
            "telephone_number": "812-923-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE ST STE 324",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506807",
            "telephone_number": "812-945-7536",
            "fax_number": "812-945-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "JANET",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001804A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000548413",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200503420",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhollis23891@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1919 State St Ste 324",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471506807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.