HOLLY R BASHURA (APRN) – Family Nurse Practitioner, NPI 1194771758

HOLLY R BASHURA (APRN) is a healthcare provider. based in Bridgeport, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 002970 (CT). The NPI Number for HOLLY R BASHURA (APRN) is 1194771758

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY R BASHURA (APRN)
NPI
1194771758
Phone
(203) 374-6162
Address
4699 MAIN ST
Enumeration Date
25 May 2006
Last Update Date
11 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4105229800
Graduation Year
2003 (23 years ago)
PAC ID
8820006943
Group Practice PAC ID
8325943707
Professional Enrollment ID
I20121017000577
Address ID
MD212025533BA1000XSTXX422
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Loading map...

Provider Addresses for HOLLY R BASHURA (APRN)

  • 4699, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States

    SUITE 105

    BRIDGEPORT, CT 066061830

    Phone: (203) 374-6162

    Fax: (203) 374-1549

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2012-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090331000408INurse PractitionerDCTBD
I20121017000577INurse PractitionerMDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes27179$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11455$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3838$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 06606)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325943707View full group profile
NameSpecialtyState
Family PracticeMD
Hospitalist, Internal MedicineVA
Infectious DiseasePA
-MD
-MD
Internal MedicineMD
Nurse PractitionerMD
-MD
-VA
Cardiovascular Disease (Cardiology), Internal MedicineMD

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is HOLLY R BASHURA (APRN)'s NPI number?
HOLLY R BASHURA (APRN)'s NPI is 1194771758 — the number used across U.S. healthcare to identify this provider.
Is HOLLY R BASHURA (APRN) still an active registrant?
HOLLY R BASHURA (APRN) carries an active NPI according to the public dataset.
What kind of doctor is HOLLY R BASHURA (APRN)?
HOLLY R BASHURA (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is HOLLY R BASHURA (APRN) located near Bridgeport?
HOLLY R BASHURA (APRN) currently maps to Bridgeport, Connecticut in this extract.
Does HOLLY R BASHURA (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

PATRICIA A SHATNEY (FNP-BC)

Family Nurse Practitioner
900, Madison Avenue, Toilsome Hill, Bridgeport, Fairfield County, Connecticut, 06606, United States
NPI: 1730188525

MS. CAROL M BATTIN (APRN)

Family Nurse Practitioner
46, Woodbury Avenue, Springdale, Stamford, Fairfield County, Connecticut, 06907, United States
NPI: 1720089055

MS. SHERAN MAXWELL SIMO (NP)

Family Nurse Practitioner
226, Mill Hill Avenue, Remington City Historic District, Bridgeport, Greater Bridgeport Planning Region, Connecticut, 06610, United States
NPI: 1497740062

MS. SHEILA DUBOSE-COOPER (APRN)

Family Nurse Practitioner
East Main Street, Bridgeport, Fairfield County, Connecticut, 06610, United States
NPI: 1144208877

RENEE POWELL BIEHL (APRN)

Family Nurse Practitioner
762, Lindley Street, Bridgeport, Fairfield County, Connecticut, 06606, United States
NPI: 1629048418

MS. DIANE ROSE CROLL (APRN)

Family Nurse Practitioner
9, Oakland Drive, Long Hill, Trumbull, Greater Bridgeport Planning Region, Connecticut, 06611, United States
NPI: 1447226915

MAHALIA T DEJESUS (FNP-BC)

Family Nurse Practitioner
7 CAMBRIDGE DR STE 201
NPI: 1578512323

NEPHROLOGY ASSOCIATES, PC

Nephrology Physician
7 CAMBRIDGE DR STE 201
NPI: 1609825223

LOUIS A ROSEN (NP)

Family Nurse Practitioner
Daniel T Banks Health Science Library, 2800, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States
NPI: 1316956915