HOLLY FITZGERALD (DNP, APRN) – Nurse Practitioner, NPI 1063956480
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
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Provider Addresses for HOLLY FITZGERALD (DNP, APRN)
144, McKenzie Drive, Stillmans Corner, Southington, Hartford County, Connecticut, 06489, United States
SOUTHINGTON, CT 064894149
Phone: (860) 583-7700
Type: Mailing
625, Clark Avenue, Bristol, Hartford County, Connecticut, 06010, United States
BRISTOL, CT 060104068
Phone: (860) 583-7700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-01-09
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 |
|---|---|---|---|---|
| I20170109001210 | I | Nurse Practitioner | CT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 281 | 146 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 209 | 107 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 180 | 102 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 147 | 102 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 138 | 86 | $0 |
Insurance plans in this area (ZIP 06489)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| - | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Family Practice | NY | |
| Physician Assistant | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine, Geriatric Medicine | CT | |
| - | CT |
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