Krista Hollis, CRNP is a medicare enrolled "Nurse Practitioner" in Forest City, Pennsylvania. Her current practice location is
100 Dundaff St, Forest City, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 785-3194.
Krista Hollis is licensed to practice in Pennsylvania (license number SP013058) 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 1992138135.
Provider's Profile
Full Name | Krista Hollis |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 100 Dundaff St, Forest City, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992138135
- Provider Enumeration Date: 08/12/2013
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850511437
- Enrollment ID: I20141002000692
Medical Identifiers
Medical identifiers for Krista Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992138135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | SP013058 (Pennsylvania) | Primary |
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. Krista Hollis 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 |
Krista Hollis, CRNP 601 Park St, Honesdale, PA 18431-1445 Ph: (570) 253-8226 | Krista Hollis, CRNP 100 Dundaff St, Forest City, PA 18421-1317 Ph: (570) 785-3194 |
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