Carissa Holland, NP-C in Shafter, CA - Medicare Nurse Practitioner

Carissa Holland, NP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Shafter, California. Her current practice location is 565 Kern St, Shafter, California. You can reach out to her office (for appointments etc.) via phone at (661) 746-4937.

Carissa Holland is licensed to practice in California (license number 95030370) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457077760.

Contact Information

	Carissa Holland, NP-C
	565 Kern St, Shafter, CA 93263-2133
	(661) 746-4937
	Not Available

Map and Direction

Provider's Profile

Full Name	Carissa Holland
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	565 Kern St, Shafter, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457077760
Provider Enumeration Date: 10/18/2022
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4486187234
Enrollment ID: I20241031002486

Medical Identifiers

Medical identifiers for Carissa Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457077760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95030370 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carissa Holland allows following entities to bill medicare on her behalf.

Entity Name	Vanguard Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609281310 PECOS PAC ID: 4587881685 Enrollment ID: O20140813002697

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carissa Holland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carissa Holland, NP-C 565 Kern St, Shafter, CA 93263-2133 Ph: (661) 746-4937	Carissa Holland, NP-C 565 Kern St, Shafter, CA 93263-2133 Ph: (661) 746-4937

Reviews and Comments

Nurse Practitioner Nurses in Shafter, CA

Shike Ayeni, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Munzer St Ste C, Shafter, CA 93263 Phone: 661-630-5274
Mrs. Mary V. Collignon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 James St, Shafter, CA 93263 Phone: 661-459-1814 Fax: 661-459-1821
Mrs. Danessa Thorbrogger, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 565 Kern Street, Shafter, CA 93263 Phone: 661-746-4937
Rudy Angel Ramirez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 E Lerdo Hwy, Shafter, CA 93263 Phone: 661-630-5890
Mrs. Trude L. Frazer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 S Central Valley Hwy, Shafter, CA 93263 Phone: 661-746-9194
Iliana Rivera, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 655 S Central Valley Hwy, Shafter, CA 93263 Phone: 866-707-6664

Carissa Holland, NP-C - Medicare Nurse Practitioner in Shafter, CA