MRS. HOLLY HAWKINS WOLF (PA-C) – Physician Assistant, NPI 1124370333

MRS. HOLLY HAWKINS WOLF (PA-C) is a healthcare provider. based in Brockton, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1252 (ID). The NPI Number for MRS. HOLLY HAWKINS WOLF (PA-C) is 1124370333

Main info

Female
15 Years Of Experience
Name
MRS. HOLLY HAWKINS WOLF (PA-C)
NPI
1124370333
Phone
(508) 427-3034
Address
235 N PEARL ST
Enumeration Date
11 October 2012
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083770820
Graduation Year
2011 (15 years ago)
PAC ID
2264685817
Group Practice PAC ID
5395833586
Professional Enrollment ID
I20151204000620
Address ID
ID837048734BO6454XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MRS. HOLLY HAWKINS WOLF (PA-C)

  • 235 N PEARL ST

    BROCKTON, MA 023011794

    Phone: (508) 427-3034

    Fax: (508) 427-2090

    Type: Mailing

  • 6454 W. EMERALD ST

    BOISE, ID 837048734

    Phone: (208) 377-0820

    Fax: (208) 375-8046

    Type: Mailing

  • 13176 W. PERSIMMON LANE

    SUITE 100

    BOISE, ID 837135063

    Phone: (208) 377-0820

    Fax: (208) 375-8046

    Type: Location

  • 13176 W PERSIMMON LN STE 100

    BOISE, ID 837135015

    Phone: (208) 939-8640

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $2,103.

Total Amount is formed as General ($2,103) + Research ($0) + Ownership ($0) = $2,103.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,381).

Total Amount

$2,103

General + Research + Ownership

Payments

37

Total payment records

General Amount

$2,103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-12-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151204000620IPhysician AssistantIDTBD

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
17003Destruction of precancer skin growth, 2-14 growths650112$0
99213Established patient office or other outpatient visit, 20-29 minutes372259$0
17000Destruction of precancer skin growth, 1 growth194147$0
17110Destruction of skin growth, 1-14 growths10487$0
99203New patient office or other outpatient visit, 30-44 minutes5151$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 5395833586View full group profile
NameSpecialtyState
Physician AssistantID
-ID
D E R M A T O L O G YIL
Physician AssistantID
Physician AssistantID

Reviews

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Frequently asked questions

What federal number belongs to MRS. HOLLY HAWKINS WOLF (PA-C)?
The federal identifier for MRS. HOLLY HAWKINS WOLF (PA-C) is NPI 1124370333.
Is MRS. HOLLY HAWKINS WOLF (PA-C)'s NPI currently valid?
The extract we use shows MRS. HOLLY HAWKINS WOLF (PA-C) as active.
What kind of provider is MRS. HOLLY HAWKINS WOLF (PA-C)?
The page reflects Physician Assistant for MRS. HOLLY HAWKINS WOLF (PA-C). Clinical services aligned with this taxonomy classification.
Where is MRS. HOLLY HAWKINS WOLF (PA-C)'s primary listing?
We display Brockton, Massachusetts because that is what the record indicates for MRS. HOLLY HAWKINS WOLF (PA-C).
Is MRS. HOLLY HAWKINS WOLF (PA-C) a real provider?
This page reflects official NPPES data for NPI 1124370333. Always confirm identity and privileges with the practice and licensing boards.

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