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MS. MARYBETH HOLAK ARNP
NPI 1518067230
Nurse Practitioner - Family in New Haven, CT

Active since September 23, 2006PECOS Enrolled
428 COLUMBUS AVENUE, DERMATOLOGY, NEW HAVEN, CT 06519(203) 503-3000(203) 503-3224 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Marybeth Holak Arnp NPPES

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

MS. MARYBETH HOLAK ARNP (NPI 1518067230) is an individual family provider in New Haven, Connecticut, licensed in Connecticut (6944) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518067230
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARYBETH HOLAKCredential: ARNP
Location Address428 COLUMBUS AVENUE, DERMATOLOGYNew Haven, CT 06519-1233
Mailing Address400 Columbus Avenue, Credentialing SpecialistNew Haven, CT 06519-1233 · (203) 503-3000 · Fax (203) 503-6515
Phone(203) 503-3000
Fax(203) 503-3224
Sole ProprietorNo
Enumeration DateSeptember 23, 2006
Last NPPES UpdateOctober 30, 2020
NPPES CertifiedOctober 30, 2020
✔ NPI 1518067230 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 CT · 6944
428 COLUMBUS AVENUE, New Haven, CT 06519
Open in Google Maps ↗

Other Identifiers 3

Medicaid008075168CT
OtherP61979NH · Anthem Bcbs
OtherP00067536NH · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marybeth Holak Arnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Marybeth Holak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornell Scott Hill Health Corporation
Same address
Federally Qualified Health Center (FQHC)
400-428 COLUMBUS AVENUE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1902921380 (203) 503-3000

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 06519 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 7

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

SHANIQUE BINGHAM DPM
Podiatrist
428 COLUMBUS AVENUE, PODIATRY
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3070
DR. JAMIL AYANNA HARP MD
Obstetrics & Gynecology
428 COLUMBUS AVENUE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3094
DR. MICHAEL JOHN COUTURIE MD
Internal Medicine
428 COLUMBUS AVENUE, CORNELL SCOTT-HILL HEALTH CENTER
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
DR. AMELIA WATKINS M.D.
Pediatrics
428 COLUMBUS AVENUE, CORNELL SCOTT-HILL HEALTH CENTER
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
ISABELLA YIROA CHEN DMD
Dentist (General Practice)
428 COLUMBUS AVENUE, DENTAL
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3040
THERESA PENNACHIO LMFT
Marriage & Family Therapist
428 COLUMBUS AVENUE, CHILD FAMILY GUIDANCE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3055
JONATHAN FRANKLIN JOHNSON JR. FNP
Nurse Practitioner (Family)
428 COLUMBUS AVENUE, PEDIATRICS
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3030

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 Marybeth Holak's NPI number?

The NPI number for Marybeth Holak is 1518067230. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Marybeth Holak located?

Marybeth Holak practices at 428 Columbus Avenue Dermatology, New Haven, CT 06519. The listed phone number is (203) 503-3000.

What is Marybeth Holak's specialty?

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

Is Marybeth Holak enrolled in Medicare?

Yes. Marybeth Holak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marybeth Holak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marybeth Holak reassigns Medicare benefits to Cornell Scott Hill Health Corporation (New Haven, CT). The 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 Marybeth Holak'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 Marybeth Holak was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.