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HOLLEY MEDICAL AESTHETICS PLLC
NPI 1801577671
Surgery - Plastic and Reconstructive Surgery in Portage, MI

Active since July 26, 2023
8175 CREEKSIDE DR STE 100, PORTAGE, MI 49024(269) 222-1611(269) 222-1607 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Holley Medical Aesthetics Pllc NPPES

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

HOLLEY MEDICAL AESTHETICS PLLC (NPI 1801577671) is a healthcare organization registered as a plastic and reconstructive surgery in Portage, Michigan and active in the NPI registry since July 2023. The organization lists Scott Holley, Physician, as its authorized official.

NPPES Registry Identity

NPI1801577671
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameHOLLEY MEDICAL AESTHETICS PLLC
Location Address8175 CREEKSIDE DR STE 100Portage, MI 49024-5370
Mailing Address8175 Creekside Dr Ste 100Portage, MI 49024-5370 · (269) 222-1611 · Fax (269) 222-1607
Phone(269) 222-1611
Fax(269) 222-1607
Organization SubpartNo
Authorized OfficialScott HolleyPhysician · (269) 222-1611
Enumeration DateJuly 26, 2023
NPPES CertifiedJuly 26, 2023
✔ NPI 1801577671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
8175 CREEKSIDE DR STE 100, Portage, MI 49024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holley Medical Aesthetics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Holley Medical Aesthetics PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Scott Holley, M.D., F.A.C.S.
Plastic and Reconstructive Surgery
NPI 1811994841
7971 MOORSBRIDGE RD
Portage, MI 49024
(269) 329-2900
✔ PECOS✔ Accepts Medicare1.5 mi
Kelly Pasch, FNP
Nurse Practitioner
NPI 1245782804
2700 EAST CENTRE AVE
Portage, MI 49002
(269) 286-7050
✔ PECOS✔ Accepts Medicare2.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Holley Medical Aesthetics PLLC's NPI number?

The NPI number for Holley Medical Aesthetics PLLC is 1801577671. It was assigned to this organization in the NPPES registry on July 26, 2023.

Where is Holley Medical Aesthetics PLLC located?

Holley Medical Aesthetics PLLC is located at 8175 Creekside Dr Ste 100, Portage, MI 49024. The listed phone number is (269) 222-1611.

What is Holley Medical Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Holley Medical Aesthetics PLLC enrolled in Medicare?

Yes. Holley Medical Aesthetics PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holley Medical Aesthetics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Holley Medical Aesthetics PLLC, in Nurse Practitioner and Plastic and Reconstructive Surgery. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Holley Medical Aesthetics PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Holley Medical Aesthetics PLLC 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 Holley Medical Aesthetics PLLC was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.