Nicelee Fall Hollenback, NPP - Medicare Nurse Practitioner in Ithaca, NY

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Nicelee Fall Hollenback, NPP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ithaca, New York. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 950 Danby Rd Ste 202a, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at (607) 342-5728.

Nicelee Fall Hollenback is licensed to practice in New York (license number 401500) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1801172614.

Contact Information

Nicelee Fall Hollenback, NPP
950 Danby Rd Ste 202a,
Ithaca, NY 14850-5714
(607) 342-5728
(607) 238-4687

Map and Direction




Provider's Profile

Full NameNicelee Fall Hollenback
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location950 Danby Rd Ste 202a, Ithaca, New York
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicelee Fall Hollenback graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1801172614
  • Provider Enumeration Date: 10/25/2011
  • Last Update Date: 09/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799254470
  • Enrollment ID: I20260512004003

Medical Identifiers

Medical identifiers for Nicelee Fall Hollenback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801172614NPI-NPPES
5344741OtherNYNY STATE RNP LICENSE
401500OtherNYNPP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 401500 (New York)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. Nicelee Fall Hollenback allows following entities to bill medicare on her behalf.
Entity NamePenfield Psychiatry PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649544115
PECOS PAC ID: 2365693264
Enrollment ID: O20121126000531

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. Nicelee Fall Hollenback 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 AddressPractice Location Address
Nicelee Fall Hollenback, NPP
28 Goodband Rd,
Freeville, NY 13068-9651

Ph: (607) 342-5728		Nicelee Fall Hollenback, NPP
950 Danby Rd Ste 202a,
Ithaca, NY 14850-5714

Ph: (607) 342-5728

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.