DR. HOLLY L HAKE-HARRIS MD
NPI 1538159207
Dermatology in South Bend, IN

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
211 N EDDY ST, SOUTH BEND, IN 46617(574) 237-9231(574) 237-9208 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Holly L Hake-harris Md NPPES

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

DR. HOLLY L HAKE-HARRIS MD (NPI 1538159207) is an individual dermatology provider in South Bend, Indiana, licensed in Indiana (01035334A) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1982).

NPPES Registry Identity

NPI1538159207
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. HOLLY L HAKE-HARRISCredential: MD
Location Address211 N EDDY STSouth Bend, IN 46617-2808
Mailing Address211 N Eddy StSouth Bend, IN 46617-2808 · (574) 237-9231 · Fax (574) 237-9208
Fax(574) 237-9208
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1982
Enumeration DateOctober 25, 2005
Last NPPES UpdateFebruary 4, 2015
NPI 1538159207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IN · 01035334A
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
211 N EDDY ST, South Bend, IN 46617

Other Identifiers 3

Medicare UPINC24544IN
Medicare ID-Type Unspecified146470QQIN
Medicaid100090170IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Holly L Hake-harris Md 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 ID1355438201
PECOS Enrollment IDI20091203000603
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 28

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
765 services435 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
605 services329 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
484 services342 patients
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
223 services176 patients
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602
This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
204 services160 patients
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041
This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.
151 services128 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 20

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

Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617
Internal Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
Dietitian, Registered
211 N EDDY ST
SOUTH BEND, IN 46617
Family Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
Nurse Practitioner (Family)
211 N EDDY ST
SOUTH BEND, IN 46617
Ophthalmology
211 N EDDY ST
SOUTH BEND, IN 46617
Radiology (Diagnostic Radiology)
211 N EDDY ST
SOUTH BEND, IN 46617
Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617

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 Hake-harris's NPI number?

The NPI number for Holly Hake-harris is 1538159207. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Holly Hake-harris located?

Holly Hake-harris practices at 211 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 237-9231.

What is Holly Hake-harris's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Holly Hake-harris enrolled in Medicare?

Yes. Holly Hake-harris 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.

What insurance does Holly Hake-harris accept?

Health plans from CareSource list Holly Hake-harris 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.

When was this NPI record last updated?

The NPPES record for Holly Hake-harris was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.