Holly Medlen, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5377008041 Issued in KS

Practice address

103 N Silver St Ste D
Paola, KS 66071-1498

Phone

(913) 388-3631

Fax

(833) 449-2017

NPI assigned

Oct 26, 2015

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly Ann McBride Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Merit-based Incentive Payment System (MIPS)

Final score

79.71 of 100Reported as group

Quality

80.22

Improvement activities

40

Cost

58.74

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.medlen.1@29667.direct.athenahealth.com

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.

• Ottawa Family Physicians, Chartered

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1477598837
  Medicare reassignment NPD
• Medlen Family Care

  • Primary Care Clinic/Center
  • Paola, KS
  • NPI 1740781848
  NPD Authorized official
• Ottawa Family Physicians, Chartered

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1023558541
  NPD

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1932571262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N SILVER ST STE D",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711498",
            "telephone_number": "913-388-3631",
            "fax_number": "833-449-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N SILVER ST STE D",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711498",
            "telephone_number": "913-388-3631",
            "fax_number": "833-449-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEN",
        "first_name": "HOLLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5377008041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MCBRIDE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jodi L Maynard, MA.CCC-SLP
• Amy S McHenry, PA
• Emmett McWoods Jr., M.D.
• Medicalodges, Inc. (Medicalodges Paola)
• Medlen Family Care
• Stephen Robert Meirose, D.O.
• Sandra D Meyer, PMHNP
• Miami County Health Department
• Miami County Medical Center Inc (Miami County Medical Center)
• Miami County Medical Center Inc (Miami County Medical Center PC)

• Family Nurse Practitioner in Paola, KS
• Providers in Paola, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.