Individual provider Active NPI

Hollie Marie Mims, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1992318489
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010839 Issued in TX
Practice address
601 Texan TRL
Corpus Christi, TX 78411-2547
Phone
(361) 854-0811
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 1010839 TX Primary

Addresses

Primary practice location

601 Texan TRL
Corpus Christi, TX 78411-2547

Mailing address

161 Whistlers Cove Rd
Rockport, TX 78382-4329
Phone (706) 631-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201005000248 TX Practitioner - Nurse Practitioner 2163841529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians
Orthopedic Associates of Corpus ChristiGroup PAC ID 3274520242, 32 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

5917 Crosstown Epwy
SH 286
Corpus Christi, TX 78417-3504
Phone 3618541454113

Hospital & facility affiliations

  • Santa Fe Health Care Inc Home health agency, Benavides, TX, CCN 453121

Merit-based Incentive Payment System (MIPS)

Final score
79.43 of 100Reported as group
Quality
76.55
Promoting interoperability
96
Improvement activities
40
Cost
58.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1010839TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Corpus Christi CurrentSince Aug 25, 2020 Accepting new patients
Orthopedic Associates of Corpus Christi CurrentSince Aug 25, 2020 Accepting new patients

Locations

5917 Crosstown Expy
#286
Corpus Christi, TX 78417
Phone (361) 854-1454

5917 Crosstown Expy
Ste 286
Corpus Christi, TX 78417

7121 S Padre Island Dr
Ste 306
Corpus Christi, TX 78412

601 Texan Trl
Ste 300
Corpus Christi, TX 78411
Phone (361) 887-2900

601 Texan Trl
Corpus Christi, TX 78411
Phone (361) 696-6238

Interoperability endpoints

  • Direct secure messaging: hollie.mims.1@15288.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1992318489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WHISTLERS COVE RD",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783824329",
            "telephone_number": "706-631-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112547",
            "telephone_number": "361-854-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "HOLLIE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.