HOLLY A HEDGE APNP
NPI 1043451412
Nurse Practitioner in Oshkosh, WI
About Holly A Hedge Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY A HEDGE APNP (NPI 1043451412) is an individual nurse practitioner in Oshkosh, Wisconsin, licensed in Wisconsin (3689) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly A Hedge Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Hedge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wall, SD 57790
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OSHKOSH, WI 54904
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 Hedge's NPI number?
The NPI number for Holly Hedge is 1043451412. It was assigned to this individual provider in the NPPES registry on March 16, 2009.
Where is Holly Hedge located?
Holly Hedge practices at 600 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 237-5000.
What is Holly Hedge's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Holly Hedge enrolled in Medicare?
Yes. Holly Hedge is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Hedge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Hedge reassigns Medicare benefits to Monument Health Rapid City Hospital, Inc. (Wall, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Hedge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Hedge accept?
Health plans from Avera Health Plans list Holly Hedge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holly Hedge was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Holly A Hedge, APNP · NPI 1043451412
Nurse Practitioner physician in Oshkosh, Wisconsin. Individual provider, active in the CMS NPPES registry since March 16, 2009.
## Identity
- **NPI:** 1043451412 (Entity type: Individual)
- **Enumerated:** March 16, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3689 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 N WESTHAVEN DR, Oshkosh, WI 54904-6926
- **Phone:** (920) 237-5000 · **Fax:** (920) 237-5001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Monument Health Rapid City Hospital, Inc. (NPI 1265811285, Wall, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1043451412) · Data from the CMS NPPES public registry.