MISS HOLLY VIRTUES
NPI 1629701230
Student in an Organized Health Care Education/Training Program in Little Suamico, WI

Active since July 01, 2022PECOS Enrolled
5110 LADE BEACH RD, LITTLE SUAMICO, WI 54141(920) 373-5273 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miss Holly Virtues NPPES

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

MISS HOLLY VIRTUES (NPI 1629701230) is an individual student in an organized health care education/training program in Little Suamico, Wisconsin and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629701230
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS HOLLY VIRTUES
Location Address5110 LADE BEACH RDLittle Suamico, WI 54141-9043
Mailing Address5110 Lade Beach RdLittle Suamico, WI 54141-9043 · (920) 373-5273
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
NPI 1629701230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5110 LADE BEACH RD, Little Suamico, WI 54141

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 (PECOS)

Miss Holly Virtues is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284134198
PECOS Enrollment IDI20250825003227
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

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 Virtues's NPI number?

The NPI number for Holly Virtues is 1629701230. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Where is Holly Virtues located?

Holly Virtues practices at 5110 Lade Beach Rd, Little Suamico, WI 54141. The listed phone number is (920) 373-5273.

What is Holly Virtues's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Holly Virtues enrolled in Medicare?

Yes. Holly Virtues is registered in the Medicare PECOS enrollment system.

What insurance does Holly Virtues accept?

Health plans from CareSource (Common Ground Healthcare) list Holly Virtues 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.

Is Holly Virtues affiliated with any hospitals?

According to CMS data, Holly Virtues is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Holly Virtues was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.