MS. EBONY HOLLINS NP
NPI 1104207034
Nurse Practitioner - Family in Chestertown, MD
About Ms. Ebony Hollins Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. EBONY HOLLINS NP (NPI 1104207034) is an individual family provider in Chestertown, Maryland, licensed in Maryland (AC004640) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Ebony Hollins Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Ebony Hollins reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denton, MD 21629
- Reassigned Medicare billing, Maryland enrollment
- 67 clinicians in this Medicare group
New York, NY 10019
- Reassigned Medicare billing, New York enrollment
- 114 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Georgia enrollment
- 274 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Connecticut and Pennsylvania enrollments
- 79 clinicians in this Medicare group
Abilene, TX 79606
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Regional Physician Services Of Texas PA
- 396 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 3
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 21620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHESTERTOWN, MD 21620
CHESTERTOWN, MD 21620
CHESTERTOWN, MD 21620
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 Ebony Hollins's NPI number?
The NPI number for Ebony Hollins is 1104207034. It was assigned to this individual provider in the NPPES registry on June 16, 2015.
Where is Ebony Hollins located?
Ebony Hollins practices at 126 Philosophers Ter, Chestertown, MD 21620. The listed phone number is (443) 215-5353.
What is Ebony Hollins's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ebony Hollins enrolled in Medicare?
Yes. Ebony Hollins is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ebony Hollins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Hollins reassigns Medicare benefits to 6 organizations: Choptank Community Health System Inc (Denton, MD), Matrix Medical Of New York PC (New York, NY), Sun River Health Inc (Bronx, NY), Community Care Health Network LLC (Nashville, TN), Matrix Medical Plus (Nashville, TN) and 1 more organization, listed in the Medicare section above. Each 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 Ebony Hollins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ebony Hollins was last updated on September 6, 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.
# Ms. Ebony Hollins, NP · NPI 1104207034
Family physician in Chestertown, Maryland. Individual provider, active in the CMS NPPES registry since June 16, 2015.
## Identity
- **NPI:** 1104207034 (Entity type: Individual)
- **Enumerated:** June 16, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AC004640 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 126 PHILOSOPHERS TER, Chestertown, MD 21620-1612
- **Phone:** (443) 215-5353 · **Fax:** (833) 615-2165
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Choptank Community Health System Inc (NPI 1356388599, Denton, MD); Matrix Medical Of New York PC (NPI 1639433063, New York, NY); Sun River Health Inc (NPI 1740763275, Bronx, NY); Community Care Health Network LLC (NPI 1619368842, Nashville, TN); Matrix Medical Plus (NPI 1376973461, Nashville, TN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104207034) · Data from the CMS NPPES public registry.