Holly Carrizales, CNP in South Haven, MI - Medicare Nurse Practitioner

Holly Carrizales, CNP is a medicare enrolled "Nurse Practitioner - Family" in South Haven, Michigan. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lakeland Medical Practices and her current practice location is 940 Blue Star Hwy, South Haven, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 639-2976.

Holly Carrizales is licensed to practice in Michigan (license number 4704328731) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013791581.

Contact Information

	Holly Carrizales, CNP
	940 Blue Star Hwy, South Haven, MI 49090-7758
	(269) 639-2976
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Carrizales
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	940 Blue Star Hwy, South Haven, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly Carrizales graduated from nursing school in 2023

NPI Data:

NPI Number: 1013791581
Provider Enumeration Date: 08/24/2023
Last Update Date: 06/23/2026

Medicare PECOS Information:

PECOS PAC ID: 5597110189
Enrollment ID: I20231017003507

Medical Identifiers

Medical identifiers for Holly Carrizales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013791581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704328731 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704328731 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeland Homecare	Benton harbor, MI	Home health agency
Lakeland Hospital, St Joseph	St joseph, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Medical Practices	1658427042	284

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. Holly Carrizales allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

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. Holly Carrizales 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
Holly Carrizales, CNP 940 Blue Star Hwy, South Haven, MI 49090-7758 Ph: () -	Holly Carrizales, CNP 940 Blue Star Hwy, South Haven, MI 49090-7758 Ph: (269) 639-2976

Reviews and Comments

Nurse Practitioner Nurses in South Haven, MI

Rhonda Jo Gola, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115
Katrina Nichole Barrett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-637-5271
Mrs. Trisha Lynn Farrell, CNM, WHNP, MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave Ste 200, South Haven, MI 49090 Phone: 269-639-2720
Lisa Kay Bigelow, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 950 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-2916
Marylou Duron, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115
Kevin John Ferguson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-5271

Holly Carrizales, CNP - Medicare Nurse Practitioner in South Haven, MI