Individual provider Active NPI

Mary P Holc, NP

  • Nurse Practitioner
  • Prince George, VA
National Provider Identifier
1942593405
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024169406 Issued in VA
Practice address
4260 Crossings Blvd Ste B
Prince George, VA 23875-1400
Phone
(804) 452-5800
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 0024169406 VA Primary

Addresses

Primary practice location

4260 Crossings Blvd Ste B
Prince George, VA 23875-1400

Mailing address

4260 Crossings Blvd
Prince George, VA 23875-1400
Phone (804) 452-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110614000655 VA Practitioner - Nurse Practitioner 4385821669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

4260 Crossing Blvd
Suite 2
Prince George, VA 23875
Phone (804) 452-5800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Jun 28, 2021 Accepting new patients
Central Virginia Health Services Inc CurrentSince Jun 28, 2021 Accepting new patients
Dominion Heart and Vascular Clinic PastSince Mar 2, 2020 Accepting new patients

Locations

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

4260 Crossings Blvd
Ste B
Prince George, VA 23875
Phone (804) 452-5800

4260 Crossings Blvd
Prince George, VA 23875
Phone (804) 452-5800

Organizations & group practices 4

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1942593405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 CROSSINGS BLVD",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751400",
            "telephone_number": "804-452-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 CROSSINGS BLVD STE B",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751400",
            "telephone_number": "804-452-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLC",
        "first_name": "MARY",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024169406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

Verify at the official NPI Registry.