KELLIE D HOLLAN (NP) – Acute Care Nurse Practitioner, NPI 1871103754
Acute Care Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLIE D HOLLAN (NP)
PO BOX 775383
CHICAGO, IL 606775383
Phone: (812) 375-3000
Fax: (812) 375-3477
Type: Mailing
3201 MIDDLE DR
COLUMBUS, IN 472034427
Phone: (812) 378-7474
Type: Location
2611 WATERFRONT PARKWAY EAST DR STE 370
INDIANAPOLIS, IN 462142069
Phone: (317) 978-0257
Fax: (317) 974-9077
Type: Mailing
1058 Granddad Ln
West Harrison, IN 470606702
Phone: (513) 470-8738
Type: Location
3147 GLENDALE MILFORD RD
CINCINNATI, OH 452413134
Phone: (513) 346-1270
Fax: (513) 346-1281
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: 2024-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201204002002 | I | Nurse Practitioner | IN | TBD |
| I20240312003336 | I | Nurse Practitioner | OH | 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 60677)
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