Holley L Hillis, PMHNP in Carmel, IN - Medicare Nurse Practitioner

Holley L Hillis, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Carmel, Indiana. Her current practice location is 11900 N Penn St Ste 104, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (216) 468-5000.

Holley L Hillis is licensed to practice in Indiana (license number 71008110A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932694288.

Contact Information

	Holley L Hillis, PMHNP
	11900 N Penn St Ste 104, Carmel, IN 46032-4694
	(216) 468-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Holley L Hillis
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11900 N Penn St Ste 104, Carmel, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932694288
Provider Enumeration Date: 06/28/2018
Last Update Date: 01/18/2025

Medicare PECOS Information:

PECOS PAC ID: 2567710874
Enrollment ID: I20180802002246

Medical Identifiers

Medical identifiers for Holley L Hillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932694288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11004074 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71008110A (Indiana)	Primary
363L00000X	Nurse Practitioner	71008110A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN-2823 (Hawaii)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Holley L Hillis allows following entities to bill medicare on her behalf.

Entity Name	Community Howard Regional Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881947133 PECOS PAC ID: 5890769988 Enrollment ID: O20040824000916

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holley L Hillis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Holley L Hillis, PMHNP 115 W 3rd St, Peru, IN 46970-2150 Ph: (765) 464-4626	Holley L Hillis, PMHNP 11900 N Penn St Ste 104, Carmel, IN 46032-4694 Ph: (216) 468-5000

Reviews and Comments

Nurse Practitioner Nurses in Carmel, IN

Mrs. Heather M Caul, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13345 Illinois St, Carmel, IN 46032 Phone: 317-396-1300 Fax: 317-352-3417
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Jennifer M Spors, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11700 N Meridian St, Carmel, IN 46032 Phone: 317-688-2000
Gaelle Maviluka Bulabula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13090 Petigru Dr, Carmel, IN 46032 Phone: 317-733-8608
Carole E Floyd, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13225 N Meridian St, Carmel, IN 46032 Phone: 317-228-7000 Fax: 317-228-2321
Mrs. Margaret K Vanderveen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12289 Hancock St Ste 34, Carmel, IN 46032 Phone: 317-815-8950 Fax: 317-815-8951
Taylor K Schub, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13420 N Meridian St Ste 400, Carmel, IN 46032 Phone: 317-573-7050 Fax: 317-573-7098

Holley L Hillis, PMHNP - Medicare Nurse Practitioner in Carmel, IN