SHELBY SZYCH HOLLOMAN – Advanced Practice Midwife, NPI 1639652548

SHELBY SZYCH HOLLOMAN is a healthcare provider. based in Ann arbor, Michigan. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold a License No. 4704317661 (MI). The NPI Number for SHELBY SZYCH HOLLOMAN is 1639652548

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY SZYCH HOLLOMAN
NPI
1639652548
Phone
(734) 572-9600
Address
4200 Whitehall Dr Ste 350
Enumeration Date
7 September 2018
Last Update Date
24 January 2023

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4194751600
Graduation Year
2018 (8 years ago)
PAC ID
3870838592
Group Practice PAC ID
1951707884
Professional Enrollment ID
I20181226002435
Address ID
OH436234481TO3900XCTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

206 CERTIFIED NURSE MIDWIFE (CNM) in MI

Provider Addresses for SHELBY SZYCH HOLLOMAN

  • 4200 Whitehall Dr Ste 350

    Ann Arbor, MI 481059694

    Phone: (734) 572-9600

    Fax: (734) 572-0616

    Type: Location

  • North Holland Sylvania Road, Toledo, Lucas County, Ohio, 43623, United States

    STE 220

    TOLEDO, OH 43623

    Phone: (419) 517-7600

    Fax: (419) 517-7598

    Type: Location

  • 2702 NAVARRE AVE STE 302

    OREGON, OH 436163224

    Phone: (419) 696-3280

    Fax: (419) 696-3281

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $400.

Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($116).

Total Amount

$400

General + Research + Ownership

Payments

20

Total payment records

General Amount

$400

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

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: 2023-05-03

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
I20181226002435ICertified Nurse Midwife (Cnm)OHTBD
I20230503001212ICertified Nurse Midwife (Cnm)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48105)

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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: 1951707884View full group profile
NameSpecialtyState
U R O L O G YOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Cardiovascular Disease (Cardiology)NY
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Orthopedic SurgeryOH
Nurse PractitionerOH
Certified Nurse Midwife (Cnm)OH

Reviews

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Frequently asked questions

What federal number belongs to SHELBY SZYCH HOLLOMAN?
The federal identifier for SHELBY SZYCH HOLLOMAN is NPI 1639652548.
Is SHELBY SZYCH HOLLOMAN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SHELBY SZYCH HOLLOMAN?
The page reflects Advanced Practice Midwife for SHELBY SZYCH HOLLOMAN. Clinical services aligned with this taxonomy classification.
Where does public data place SHELBY SZYCH HOLLOMAN?
The snapshot lists Ann Arbor, Michigan for SHELBY SZYCH HOLLOMAN; download NPPES for the complete set.
How can I contact SHELBY SZYCH HOLLOMAN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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