Holly Ji Yun Dornette, FNP-BC - Medicare Nurse Practitioner in Cincinnati, OH

Holly Ji Yun Dornette, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Cincinnati, Ohio. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Cincinnati Physicians Company Llc and her current practice location is 3130 Highland Ave, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 475-8500.

Holly Ji Yun Dornette is licensed to practice in Ohio (license number APRN.CNP.020246) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669910303.

Contact Information

Holly Ji Yun Dornette, FNP-BC
3130 Highland Ave,
Cincinnati, OH 45219
(513) 475-8500
(513) 584-4281

Map and Direction




Provider's Profile

Full NameHolly Ji Yun Dornette
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location3130 Highland Ave, Cincinnati, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Ji Yun Dornette graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1669910303
  • Provider Enumeration Date: 02/02/2017
  • Last Update Date: 07/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9234416157
  • Enrollment ID: I20170502002712

Medical Identifiers

Medical identifiers for Holly Ji Yun Dornette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669910303NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.020246 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Cincinnati Medical Center, LlcCincinnati, OHHospital
West Chester HospitalWest chester, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Cincinnati Physicians Company Llc22643444801336

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. Holly Ji Yun Dornette allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Cincinnati Physicians Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801840434
PECOS PAC ID: 2264344480
Enrollment ID: O20031105000123

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. Holly Ji Yun Dornette 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 AddressPractice Location Address
Holly Ji Yun Dornette, FNP-BC
Po Box 636256 Central Credentialing,
Cincinnati, OH 45263-6256

Ph: (513) 245-3600
Holly Ji Yun Dornette, FNP-BC
3130 Highland Ave,
Cincinnati, OH 45219

Ph: (513) 475-8500

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.