HOLLY R BASHURA APRN
NPI 1194771758
Nurse Practitioner - Family in Bridgeport, CT
About Holly R Bashura Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY R BASHURA APRN (NPI 1194771758) is an individual family provider in Bridgeport, Connecticut, licensed in Connecticut (002970) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Holly R Bashura Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Holly Bashura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Belcamp, MD 21017
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Nottingham, MD 21236
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1255359972 (District of Columbia)
- 952 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDJohns Hopkins Howard County Medical Center
Acute Care Hospitals · Columbia, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06606 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.
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.
BRIDGEPORT, CT 06606
BRIDGEPORT, CT 06606
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 Bashura's NPI number?
The NPI number for Holly Bashura is 1194771758. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Holly Kummer.
Where is Holly Bashura located?
Holly Bashura practices at 4699 Main St Suite 105, Bridgeport, CT 06606. The listed phone number is (203) 374-6162.
What is Holly Bashura's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holly Bashura enrolled in Medicare?
Yes. Holly Bashura 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.
Which organizations bill Medicare for Holly Bashura's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Bashura reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Belcamp, MD) and Johns Hopkins Community Physicians, Inc (Nottingham, MD). 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 Holly Bashura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Holly Bashura affiliated with any hospitals?
According to CMS data, Holly Bashura is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Howard County Medical Center.
When was this NPI record last updated?
The NPPES record for Holly Bashura was last updated on September 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 R Bashura, APRN · NPI 1194771758
Family physician in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1194771758 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 002970 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 4699 MAIN ST, SUITE 105, Bridgeport, CT 06606-1830
- **Phone:** (203) 374-6162 · **Fax:** (203) 374-1549
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins University (NPI 1376342774, Belcamp, MD); Johns Hopkins Community Physicians, Inc (NPI 1194546192, Nottingham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** September 11, 2007
- **Other identifiers:** Medicaid 004258267 (CT); Medicare ID-Type Unspecified 500001672 (CT); Medicare UPIN Q66728 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1194771758) · Data from the CMS NPPES public registry.