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HOLLY ANNE GLOUDEMANS
NPI 1144804550
Nurse Practitioner - Family in Beverly Hills, CA

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment
99 N LA CIENEGA BLVD STE M102, BEVERLY HILLS, CA 90211(310) 358-2992(310) 358-2973 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2025, Aug 16, 2023, Dec 24, 2021 and 1 more (4 updates tracked since 2021).

About Holly Anne Gloudemans NPPES

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

HOLLY ANNE GLOUDEMANS (NPI 1144804550) is an individual family provider in Beverly Hills, California, licensed in California (95017289) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144804550
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY ANNE GLOUDEMANS
Location Address99 N LA CIENEGA BLVD STE M102Beverly Hills, CA 90211-2288
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 385-2992 · Fax (310) 385-2973
Phone(310) 358-2992
Fax(310) 358-2973
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 11, 2021
Last NPPES UpdateMarch 3, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1144804550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95017289
Also ListedFamily MedicineTaxonomy 207Q00000X · License 95017289 (CA)
99 N LA CIENEGA BLVD STE M102, Beverly Hills, CA 90211
Open in Google Maps ↗

Other Names 1

Former Name (1)Holly Anne Hanson

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 Anne Gloudemans 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 ID4789078973
PECOS Enrollment IDI20220304000520
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 90211 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 4

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

HOWARD HYUKJIN KIM MD
Urology
99 N LA CIENEGA BLVD STE M102
BEVERLY HILLS, CA 90211
Los Angeles County (310) 385-2992
ARIEL MORADZADEH M.D.
Urology
99 N LA CIENEGA BLVD STE M102
BEVERLY HILLS, CA 90211
Los Angeles County (310) 385-2992
ANDREW CHEN
Urology
99 N LA CIENEGA BLVD STE M102
BEVERLY HILLS, CA 90211
Los Angeles County (310) 358-2992
DR. BRITTNI ALLISON JOHNSON BOYD M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
99 N LA CIENEGA BLVD STE M102
BEVERLY HILLS, CA 90211
Los Angeles County (310) 385-2992

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 Gloudemans's NPI number?

The NPI number for Holly Gloudemans is 1144804550. It was assigned to this individual provider in the NPPES registry on May 11, 2021. The provider is also known as Holly Anne Hanson.

Where is Holly Gloudemans located?

Holly Gloudemans practices at 99 N La Cienega Blvd Ste M102, Beverly Hills, CA 90211. The listed phone number is (310) 358-2992.

What is Holly Gloudemans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Holly Gloudemans enrolled in Medicare?

Yes. Holly Gloudemans 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 Gloudemans was last updated on March 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.