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HOLLY KATHRYN HATTAWAY CRNP
NPI 1194198135
Nurse Practitioner - Adult Health in Birmingham, AL

Active since November 12, 2015PECOS Enrolled
1719 6TH AVE S, BIRMINGHAM, AL 35294(205) 975-5587 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Kathryn Hattaway Crnp NPPES

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

HOLLY KATHRYN HATTAWAY CRNP (NPI 1194198135) is an individual adult health provider in Birmingham, Alabama, licensed in Alabama (1-136564) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194198135
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHOLLY KATHRYN HATTAWAYCredential: CRNP
Location Address1719 6TH AVE SBirmingham, AL 35294-0001
Mailing Address1719 6th Ave SBirmingham, AL 35294-0001
Phone(205) 975-5587
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 12, 2015
✔ NPI 1194198135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AL · 1-136564
1719 6TH AVE S, Birmingham, AL 35294
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Other Names 1

Former Name (1)Holly Heath

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Kathryn Hattaway Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466753546
PECOS Enrollment IDI20220618000442
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.

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
259 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
196 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services24 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
27 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35294 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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

DR. LUKE MORADI MD
Student in an Organized Health Care Education/Training Program
1719 6TH AVE S
BIRMINGHAM, AL 35294
Jefferson County (205) 934-5670

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 Hattaway's NPI number?

The NPI number for Holly Hattaway is 1194198135. It was assigned to this individual provider in the NPPES registry on November 12, 2015. The provider is also known as Holly Heath.

Where is Holly Hattaway located?

Holly Hattaway practices at 1719 6th Ave S, Birmingham, AL 35294. The listed phone number is (205) 975-5587.

What is Holly Hattaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Holly Hattaway enrolled in Medicare?

Yes. Holly Hattaway is registered in the Medicare PECOS enrollment system.

What insurance does Holly Hattaway accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Holly Hattaway 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.

Is Holly Hattaway affiliated with any hospitals?

According to CMS data, Holly Hattaway is affiliated with Memorial University Medical Center.

When was this NPI record last updated?

The NPPES record for Holly Hattaway was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.