1. Home
  2. Directory
  3. New York
  4. Ithaca
  5. Nurse Practitioner
  6. NPI Profile

NICELEE FALL HOLLENBACK NPP
NPI 1801172614
Nurse Practitioner - Psychiatric/Mental Health in Ithaca, NY

Active since October 25, 2011PECOS Enrolled
950 DANBY RD STE 202A, ITHACA, NY 14850(607) 342-5728(607) 238-4687 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicelee Fall Hollenback Npp NPPES

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

NICELEE FALL HOLLENBACK NPP (NPI 1801172614) is an individual psychiatric/mental health provider in Ithaca, New York, licensed in New York (401500) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1801172614
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICELEE FALL HOLLENBACKCredential: NPP
Location Address950 DANBY RD STE 202AIthaca, NY 14850-5714
Mailing Address28 Goodband RdFreeville, NY 13068-9651 · (607) 342-5728 · Fax (607) 238-4687
Phone(607) 342-5728
Fax(607) 238-4687
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 25, 2011
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1801172614 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 · 401500
950 DANBY RD STE 202A, Ithaca, NY 14850
Open in Google Maps ↗

Other Identifiers 2

Other401500NY · Npp
Other5344741NY · Ny State Rnp License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicelee Fall Hollenback Npp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799254470
PECOS Enrollment IDI20260512004003
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 14850 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.

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 Nicelee Hollenback's NPI number?

The NPI number for Nicelee Hollenback is 1801172614. It was assigned to this individual provider in the NPPES registry on October 25, 2011.

Where is Nicelee Hollenback located?

Nicelee Hollenback practices at 950 Danby Rd Ste 202A, Ithaca, NY 14850. The listed phone number is (607) 342-5728.

What is Nicelee Hollenback's specialty?

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

Is Nicelee Hollenback enrolled in Medicare?

Yes. Nicelee Hollenback is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicelee Hollenback was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.