Mrs Holly M Endo, FNP-BC in Cleveland, TN - Medicare Nurse Practitioner

Mrs Holly M Endo, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Tennessee. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tennessee Kidney Care Pllc and her current practice location is 905 Clingan Ridge Dr Nw, Cleveland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 476-6166.

Mrs Holly M Endo is licensed to practice in Tennessee (license number 23920) 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 1114428026.

Contact Information

	Mrs Holly M Endo, FNP-BC
	905 Clingan Ridge Dr Nw, Cleveland, TN 37312-3729
	(423) 476-6166
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Holly M Endo
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	905 Clingan Ridge Dr Nw, Cleveland, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Holly M Endo graduated from nursing school in 2017

NPI Data:

NPI Number: 1114428026
Provider Enumeration Date: 02/26/2018
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2163770041
Enrollment ID: I20180809000637

Medical Identifiers

Medical identifiers for Mrs Holly M Endo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114428026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	23920 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tennova Health Care-cleveland	Cleveland, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tennessee Kidney Care Pllc	2860780459	3

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. Mrs Holly M Endo allows following entities to bill medicare on her behalf.

Entity Name	Tennessee Kidney Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073963716 PECOS PAC ID: 2860780459 Enrollment ID: O20161014000293

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. Mrs Holly M Endo 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
Mrs Holly M Endo, FNP-BC Po Box 3877, Joliet, IL 60434-3877 Ph: (815) 714-7171	Mrs Holly M Endo, FNP-BC 905 Clingan Ridge Dr Nw, Cleveland, TN 37312-3729 Ph: (423) 476-6166

Reviews and Comments

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Robert Breck Lang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2020 Westland Dr Sw, Cleveland, TN 37311 Phone: 423-478-1970
Lindsey C Baxter, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1482 Old Charleston Rd Ne, Cleveland, TN 37312 Phone: 423-544-9596
Mary Michelle Youngblood, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Brentwood Trl Sw, Cleveland, TN 37311 Phone: 423-284-9390
Kellye Fryar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 463 1st St Nw, Cleveland, TN 37311 Phone: 423-790-7662 Fax: 423-790-7664

Mrs Holly M Endo, FNP-BC - Medicare Nurse Practitioner in Cleveland, TN