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HOLLY MCCLURE NP
NPI 1023424348
Nurse Practitioner - Gerontology in Rohnert Park, CA

Active since July 08, 2014PECOS EnrolledAccepts Medicare Assignment
5789 STATE FARM DR STE 110, ROHNERT PARK, CA 94928(707) 615-3347 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Mcclure Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY MCCLURE NP (NPI 1023424348) is an individual gerontology provider in Rohnert Park, California, licensed in Massachusetts (RN2281790) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2014).

NPPES Registry Identity

NPI1023424348
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameHOLLY MCCLURECredential: NP
Location Address5789 STATE FARM DR STE 110Rohnert Park, CA 94928-6308
Mailing Address5789 State Farm Dr Ste 110Rohnert Park, CA 94928-6308 · (707) 615-3347
Phone(707) 615-3347
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2014
Enumeration DateJuly 8, 2014
Last NPPES UpdateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1023424348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · RN2281790
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95393416 (CA)
5789 STATE FARM DR STE 110, Rohnert Park, CA 94928
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Mcclure Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608399696
PECOS Enrollment IDI20250331002986
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94928 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AGEWELL PACE
General Practice
5789 STATE FARM DR STE 110
ROHNERT PARK, CA 94928
Sonoma County (707) 615-4437
MRS. KONSTANZE EMMALINE CONRADT-FRANCO NP
Nurse Practitioner (Primary Care)
5789 STATE FARM DR STE 110
ROHNERT PARK, CA 94928
Sonoma County (707) 615-4437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Mcclure's NPI number?

The NPI number for Holly Mcclure is 1023424348. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is Holly Mcclure located?

Holly Mcclure practices at 5789 State Farm Dr Ste 110, Rohnert Park, CA 94928. The listed phone number is (707) 615-3347.

What is Holly Mcclure's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Holly Mcclure enrolled in Medicare?

Yes. Holly Mcclure is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Holly Mcclure was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.