HOLLY MARIE ELLIS-PONOMAREV (RN, BSN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1437500097
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HOLLY MARIE ELLIS-PONOMAREV (RN, BSN, PMHNP-BC)
1615 Foxtrail Dr Ste 230
Loveland, CO 805389087
Phone: (970) 820-0470
Fax: (877) 720-0502
Type: Location
9218 Kimmer Dr Ste 200
Lone Tree, CO 801246733
Phone: (303) 683-5620
Fax: (303) 683-5609
Type: Location
The Medical Center of Aurora-North Campus, 700, Potomac Street, Aurora, Arapahoe County, Colorado, 80011, United States
AURORA, CO 800116844
Phone: (303) 360-3700
Type: Mailing
6509, South Santa Fe Drive, Littleton, Arapahoe County, Colorado, 80120, United States
LITTLETON, CO 801202910
Phone: (303) 730-8858
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $191.
Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($133).
Total Amount
$191
General + Research + Ownership
Payments
9
Total payment records
General Amount
$191
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $133 |
| Supernus Pharmaceuticals, Inc. | $39 |
| Alkermes, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190115003066 | I | Nurse Practitioner | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80538)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | CO | |
| - | CO | |
| Certified Clinical Nurse Specialist (Cns) | CO | |
| Clinical Social Worker | CO | |
| Mental Health Counselor | CO | |
| - | CO | |
| Clinical Social Worker | CO | |
| Certified Clinical Nurse Specialist (Cns) | CO | |
| - | CO |
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