DR. HOLLY ELAINE ROSS (M.D.) – Family Medicine Physician, NPI 1740276633
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DR. HOLLY ELAINE ROSS (M.D.)
3460, Wexford Court, Smoker Hutzel Sub. No. 3, Ann Arbor, Washtenaw County, Michigan, 48108, United States
ANN ARBOR, MI 481081763
Phone: (734) 369-8272
Type: Mailing
Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States
L2003 WOMEN'S, BOX 0239
ANN ARBOR, MI 481090999
Phone: (734) 615-2690
Type: Location
200 Arnet St Ste 150
Ypsilanti, MI 481985735
Phone: (734) 985-7200
Fax: (614) 635-1290
Type: Location
2650 Carpenter Rd
Ann Arbor, MI 481081108
Phone: (734) 971-1073
Fax: (614) 635-1290
Type: Location
1915 PAULINE BLVD
ANN ARBOR, MI 481035001
Phone: (734) 926-4900
Fax: (614) 635-1290
Type: Location
5200 VENTURE DR
ANN ARBOR, MI 481089561
Phone: (734) 971-1073
Fax: (734) 773-1833
Type: Mailing
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: 2011-02-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110214000889 | I | Family Practice | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 83036 | Hemoglobin A1C level | 31 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI |
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