Nichole Holland, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Delmar, Maryland. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tidalhealth Physician Network, Inc. and her current practice location is
9315 Ocean Hwy Ste B, Delmar, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 896-3694.
Nichole Holland is licensed to practice in Maryland (license number R202147) 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 1588202600.
Provider's Profile
Full Name | Nichole Holland |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 9315 Ocean Hwy Ste B, Delmar, Maryland |
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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:
- Nichole Holland graduated from nursing school in 2019
NPI Data:
- NPI Number: 1588202600
- Provider Enumeration Date: 12/19/2019
- Last Update Date: 01/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 9931535853
- Enrollment ID: I20221031000162
Medical Identifiers
Medical identifiers for Nichole Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588202600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R202147 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Tidalhealth Physician Network, Inc. | 7315901253 | 73 |
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. Nichole Holland allows following entities to bill medicare on her behalf.
Entity Name | Tidalhealth Physician Network, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467534636 PECOS PAC ID: 7315901253 Enrollment ID: O20041119000090 |
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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. Nichole Holland 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 |
Nichole Holland, CRNP 9315 Ocean Hwy Ste B, Delmar, MD 21875-2339 Ph: () - | Nichole Holland, CRNP 9315 Ocean Hwy Ste B, Delmar, MD 21875-2339 Ph: (410) 896-3694 |
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