HOLLY ELLISON NP
NPI 1720231095
Nurse Practitioner - Psychiatric/Mental Health in Kingston, NY

Active since October 29, 2008PECOS Enrolled
185 GREEN ST, SUITE 2, KINGSTON, NY 12401(845) 339-3736(845) 339-6731 Get Directions Write a Review

NPPES record last updated: October 29, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Holly Ellison Np NPPES

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

HOLLY ELLISON NP (NPI 1720231095) is an individual psychiatric/mental health provider in Kingston, New York, licensed in New York (F401175) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720231095
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHOLLY ELLISONCredential: NP
Location Address185 GREEN ST, SUITE 2Kingston, NY 12401-3716
Mailing Address185 Green St, Suite 2Kingston, NY 12401-3716 · (845) 339-3736 · Fax (845) 339-6731
Fax(845) 339-6731
Sole ProprietorNo
Enumeration DateOctober 29, 2008
✔ NPI 1720231095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F401175
185 GREEN ST, Kingston, NY 12401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Ellison Np 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 Holly Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
PINE STREET FAMILY HEALTH CENTER, 140 PINE STREET
Kingston, NY 12401
  • Reassigned Medicare billing, New York enrollment
  • 347 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 12401 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
185 GREEN ST, SUITE 2
KINGSTON, NY 12401

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 Ellison's NPI number?

The NPI number for Holly Ellison is 1720231095. It was assigned to this individual provider in the NPPES registry on October 29, 2008.

Where is Holly Ellison located?

Holly Ellison practices at 185 Green St Suite 2, Kingston, NY 12401. The listed phone number is (845) 339-3736.

What is Holly Ellison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Holly Ellison enrolled in Medicare?

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

Which organization bills Medicare for Holly Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Ellison reassigns Medicare benefits to The Institute For Family Health (Kingston, NY). 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 Holly Ellison'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 Ellison was last updated on October 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.