| Mr Ryan Lee Hollis, FNP-BC | |
|
3500 Franciscan Way, Michigan City, IN 46360-0021 | |
| (219) 852-1524 | |
| (219) 933-2288 |
| Full Name | Mr Ryan Lee Hollis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 3500 Franciscan Way, Michigan City, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932538683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209027989 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71004693A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Michigan City | Michigan city, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Physicians Of Illinois, P.c. | 0941614044 | 13 |
| Franciscan Physician Network | 3072790682 | 1152 |
| Entity Name | Specialty Physicians of Illinois LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
| Entity Name | Hospitalist Physicians of Illinois, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396347761 PECOS PAC ID: 0941614044 Enrollment ID: O20210202000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan Lee Hollis, FNP-BC Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Mr Ryan Lee Hollis, FNP-BC 3500 Franciscan Way, Michigan City, IN 46360-0021 Ph: (219) 852-1524 |
Carol Lynn Parks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, 2-e, Michigan City, IN 46360 Phone: 219-879-6531 |
Jason C Little, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-852-1524 Fax: 219-933-2288 |
Kaci Bauske, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8733 W 400 N, Michigan City, IN 46360 Phone: 219-831-8740 Fax: 219-877-1029 |
Nichole M Shultz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4111 Franklin St, Michigan City, IN 46360 Phone: 121-987-3291 Fax: 219-873-2909 |
Todd Noel Wolford, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10176 W 400 N Ste B, Michigan City, IN 46360 Phone: 219-809-9839 Fax: 219-809-9841 |
Kristen R Novak, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8865 W 400 N Ste 155, Michigan City, IN 46360 Phone: 219-872-6566 |
Allison Elise Kinder, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8955 W 400 N, Michigan City, IN 46360 Phone: 219-861-5544 Fax: 219-861-5800 |