HOLLY RAMONA HAMM FNP-C
NPI 1285416123
Nurse Practitioner - Family in Gualala, CA

Active since October 16, 2023PECOS EnrolledAccepts Medicare Assignment
46900 OCEAN VIEW DR, GUALALA, CA 95445(707) 884-4005 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Holly Ramona Hamm Fnp-c NPPES

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

HOLLY RAMONA HAMM FNP-C (NPI 1285416123) is an individual family provider in Gualala, California, licensed in California (95026229) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1285416123
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY RAMONA HAMMCredential: FNP-C
Location Address46900 OCEAN VIEW DRGualala, CA 95445-8458
Mailing Address46900 Ocean View DrGualala, CA 95445-8458 · (707) 481-2918
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 16, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1285416123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95026229
46900 OCEAN VIEW DR, Gualala, CA 95445

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 Ramona Hamm Fnp-c 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 ID5799138871
PECOS Enrollment IDI20240124004109
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Holly Hamm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
46900 OCEAN DR
Gualala, CA 95445
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
Urgent Care
2920 TELEGRAPH AVE
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 241 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95445 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 2

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

Registered Nurse
46900 OCEAN VIEW DR
GUALALA, CA 95445
Family Medicine
46900 OCEAN VIEW DR
GUALALA, CA 95445

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 Hamm's NPI number?

The NPI number for Holly Hamm is 1285416123. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Holly Hamm located?

Holly Hamm practices at 46900 Ocean View Dr, Gualala, CA 95445. The listed phone number is (707) 884-4005.

What is Holly Hamm's specialty?

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

Is Holly Hamm enrolled in Medicare?

Yes. Holly Hamm 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 Hamm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Hamm reassigns Medicare benefits to 2 organizations: Redwood Coast Medical Services, Inc. (Gualala, CA) and Carbon Health Medical Group Of California PC (Berkeley, CA). 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 Hamm'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 Holly Hamm was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.