KIMALA HOLLIS NP
NPI 1821886458
Nurse Practitioner - Psychiatric/Mental Health in Milwaukee, WI

Active since April 25, 2025PECOS EnrolledAccepts Medicare Assignment
945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-6640 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kimala Hollis Np NPPES

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

KIMALA HOLLIS NP (NPI 1821886458) is an individual psychiatric/mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (16638-33) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821886458
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMALA HOLLISCredential: NP
Location Address945 N 12TH STMilwaukee, WI 53233-1305
Mailing Address807 Mayfair DrRacine, WI 53402-2929 · (414) 499-2957
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1821886458 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 WI · 16638-33
945 N 12TH ST, Milwaukee, WI 53233

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

Kimala Hollis Np 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 ID840780839
PECOS Enrollment IDI20251107001955
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 53233 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Anesthesiologist Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233

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 Kimala Hollis's NPI number?

The NPI number for Kimala Hollis is 1821886458. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Kimala Hollis located?

Kimala Hollis practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-6640.

What is Kimala Hollis's specialty?

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

Is Kimala Hollis enrolled in Medicare?

Yes. Kimala Hollis 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.

When was this NPI record last updated?

The NPPES record for Kimala Hollis was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.