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JESSICALEE P HOLLIS FNP-C
NPI 1508388901
Nurse Practitioner - Family in Heuvelton, NY

Active since July 07, 2017PECOS Enrolled
103 RENSSELAER ST, HEUVELTON, NY 13654(315) 344-6621(315) 713-6510 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2022, Jul 7, 2017 (2 updates tracked since 2017).

About Jessicalee P Hollis Fnp-c NPPES

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

JESSICALEE P HOLLIS FNP-C (NPI 1508388901) is an individual family provider in Heuvelton, New York, licensed in New York (341842) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508388901
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICALEE P HOLLISCredential: FNP-C
Location Address103 RENSSELAER STHeuvelton, NY 13654-3137
Mailing Address103 Rensselaer StHeuvelton, NY 13654-3137 · (315) 344-6621 · Fax (315) 713-6510
Phone(315) 344-6621
Fax(315) 713-6510
Sole ProprietorNo
Enumeration DateJuly 7, 2017
Last NPPES UpdateSeptember 9, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
✔ NPI 1508388901 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 NY · 341842
Also ListedNurse PractitionerTaxonomy 363L00000X · License 341842 (NY)
103 RENSSELAER ST, Heuvelton, NY 13654
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Other Identifiers 1

Medicaid04889438NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessicalee P Hollis Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13654 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers30 claims60 services$5.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims15 services$0.60 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$97.48 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers19 claims19 services$18.51 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers19 claims19 services$56.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CLAXTON HEPBURN MEDICAL CENTER
Clinic/Center (Rural Health)
103 RENSSELAER ST
HEUVELTON, NY 13654
St. Lawrence County (315) 344-6621
CARTHAGE AREA HOSPITAL INC
Clinic/Center
103 RENSSELAER ST
HEUVELTON, NY 13654
St. Lawrence County (315) 344-6621

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 Jessicalee Hollis's NPI number?

The NPI number for Jessicalee Hollis is 1508388901. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Jessicalee Hollis located?

Jessicalee Hollis practices at 103 Rensselaer St, Heuvelton, NY 13654. The listed phone number is (315) 344-6621.

What is Jessicalee Hollis's specialty?

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

Is Jessicalee Hollis enrolled in Medicare?

Yes. Jessicalee Hollis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessicalee Hollis was last updated on September 9, 2022. 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.