HOLLY VANDERGRIFF (NP) – Nurse Practitioner, NPI 1760886378

HOLLY VANDERGRIFF (NP) is a healthcare provider. based in Cincinnati, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN323882 (OH). The NPI Number for HOLLY VANDERGRIFF (NP) is 1760886378

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY VANDERGRIFF (NP)
NPI
1760886378
Phone
(513) 475-8787
Address
234 Goodman St
Enumeration Date
13 October 2014
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592127700
Graduation Year
2014 (12 years ago)
PAC ID
1355663691
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20180105001277
Address ID
KY410424824FL4900XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:11State licenses:3Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

Provider Addresses for HOLLY VANDERGRIFF (NP)

  • 234 Goodman St

    Cincinnati, OH 452192364

    Phone: (513) 475-8787

    Fax: (513) 475-7348

    Type: Location

  • 4900 HOUSTON RD

    FLORENCE, KY 410424824

    Phone: (859) 331-6466

    Fax: (859) 344-7930

    Type: Location

  • 651 CENTRE VIEW BLVD

    CRESTVIEW HILLS, KY 41017

    Phone: (859) 331-6466

    Fax: (859) 344-7930

    Type: Location

  • PO BOX 635283

    CINCINNATI, OH 452635283

    Phone: (859) 331-6466

    Fax: (859) 344-7930

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: QOL Medical, LLC ($32).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
QOL Medical, LLC$32
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: 2018-01-05

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
I20180105001277INurse PractitionerKYTBD

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 45219)

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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: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
Family PracticeOH
G A S T R O E N T E R O L O G YKY
-KY
Family PracticeOH
-FL

Reviews

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Frequently asked questions

How do payers reference HOLLY VANDERGRIFF (NP)?
For HOLLY VANDERGRIFF (NP), use NPI 1760886378 as the unique 10-digit identifier.
Active or inactive — what applies to HOLLY VANDERGRIFF (NP)?
You should see HOLLY VANDERGRIFF (NP) as active in CMS-hosted NPPES data.
How would a patient describe HOLLY VANDERGRIFF (NP)'s focus?
For HOLLY VANDERGRIFF (NP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Ohio is HOLLY VANDERGRIFF (NP) registered?
Use Cincinnati, Ohio as the headline location for HOLLY VANDERGRIFF (NP) here.
When was this NPI issued?
Enumeration for HOLLY VANDERGRIFF (NP) is noted as October 13, 2014 where the registry provides it.

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