JONATHAN HOLLIS (F-NP) – Gerontology Nurse Practitioner, NPI 1205298262

JONATHAN HOLLIS (F-NP) is a healthcare provider. based in Caro, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials F-NP. They hold a License No. 4704290748 (MI). The NPI Number for JONATHAN HOLLIS (F-NP) is 1205298262

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN HOLLIS (F-NP)
NPI
1205298262
Phone
(989) 672-2100
Address
1525 W CARO RD
Enumeration Date
28 March 2016
Last Update Date
7 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9896722113
Graduation Year
2015 (11 years ago)
PAC ID
7719285378
Group Practice PAC ID
0648293068
Professional Enrollment ID
I20160414000968
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for JONATHAN HOLLIS (F-NP)

  • 1525, West Caro Road, Watrousville, Caro, Juniata Township, Tuscola County, Michigan, 48723, United States

    CARO, MI 487239686

    Phone: (989) 672-2100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $890.

Total Amount is formed as General ($890) + Research ($0) + Ownership ($0) = $890.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($259).

Total Amount

$890

General + Research + Ownership

Payments

44

Total payment records

General Amount

$890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-04-14

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
I20160414000968INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 48723)

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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: 0648293068View full group profile
NameSpecialtyState
-MI

Reviews

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Frequently asked questions

How do I look up JONATHAN HOLLIS (F-NP) by NPI?
Use NPI 1205298262 when you need to reference JONATHAN HOLLIS (F-NP) in forms, claims, or directories.
Is JONATHAN HOLLIS (F-NP) active in the national directory?
JONATHAN HOLLIS (F-NP)'s public NPI profile is in an active state.
Does JONATHAN HOLLIS (F-NP) list a primary specialty?
If you are matching referrals, note Gerontology Nurse Practitioner for JONATHAN HOLLIS (F-NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for JONATHAN HOLLIS (F-NP)?
The page summarizes Caro, Michigan for JONATHAN HOLLIS (F-NP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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