DR. NICOLE ANN HOLLINGSHEAD – Clinical Psychologist, NPI 1114411733

DR. NICOLE ANN HOLLINGSHEAD is a healthcare provider. based in Columbus, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. P.07734 (OH). The NPI Number for DR. NICOLE ANN HOLLINGSHEAD is 1114411733

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE ANN HOLLINGSHEAD
NPI
1114411733
Phone
(614) 293-7417
Address
1800 ZOLLINGER RD FL 5
Enumeration Date
18 June 2018
Last Update Date
18 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
2961753371
Group Practice PAC ID
0749272714
Professional Enrollment ID
I20180925000968
Address ID
OH432021559CO700XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. NICOLE ANN HOLLINGSHEAD

  • 1800 ZOLLINGER RD FL 5

    COLUMBUS, OH 432212800

    Phone: (614) 293-7417

    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)

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: 2018-09-25

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
I20180925000968IClinical PsychologistOHTBD

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 43221)

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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: 0749272714View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
-OH
Nurse PractitionerOH
P S Y C H I A T R YOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Clinical PsychologistOH
P S Y C H I A T R YOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Is there an official ID for DR. NICOLE ANN HOLLINGSHEAD in U.S. healthcare records?
The official identifier for DR. NICOLE ANN HOLLINGSHEAD is NPI 1114411733.
Is DR. NICOLE ANN HOLLINGSHEAD shown as active in public data?
Registry records indicate DR. NICOLE ANN HOLLINGSHEAD maintains an active NPI.
What expertise is attributed to DR. NICOLE ANN HOLLINGSHEAD?
DR. NICOLE ANN HOLLINGSHEAD's specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. NICOLE ANN HOLLINGSHEAD?
Directory geography for DR. NICOLE ANN HOLLINGSHEAD centers on Columbus, Ohio.
When was this NPI issued?
Enumeration for DR. NICOLE ANN HOLLINGSHEAD is noted as June 18, 2018 where the registry provides it.

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