MARY GRACE HOLLOMON APN
NPI 1912796343
Nurse Practitioner - Family in Elizabethton, TN

Active since May 02, 2025PECOS EnrolledAccepts Medicare Assignment
1500 W ELK AVE, ELIZABETHTON, TN 37643(423) 543-2584(423) 722-2060 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Grace Hollomon Apn NPPES

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

MARY GRACE HOLLOMON APN (NPI 1912796343) is an individual family provider in Elizabethton, Tennessee, licensed in Tennessee (37672) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2024).

NPPES Registry Identity

NPI1912796343
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY GRACE HOLLOMONCredential: APN
Location Address1500 W ELK AVEElizabethton, TN 37643-2654
Mailing Address1500 W Elk AveElizabethton, TN 37643-2654 · (423) 543-2584 · Fax (423) 722-2060
Fax(423) 722-2060
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2024
Enumeration DateMay 2, 2025
NPPES CertifiedMay 2, 2025
NPI 1912796343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 37672
1500 W ELK AVE, Elizabethton, TN 37643

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 and accepts Medicare assignment

Mary Grace Hollomon Apn 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 ID7911416789
PECOS Enrollment IDI20250603001767
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 37643 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Physical Therapist
1500 W ELK AVE
ELIZABETHTON, TN 37643
Non-Pharmacy Dispensing Site
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Family Medicine
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643

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 Mary Hollomon's NPI number?

The NPI number for Mary Hollomon is 1912796343. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Mary Hollomon located?

Mary Hollomon practices at 1500 W Elk Ave, Elizabethton, TN 37643. The listed phone number is (423) 543-2584.

What is Mary Hollomon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Hollomon enrolled in Medicare?

Yes. Mary Hollomon 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.

What insurance does Mary Hollomon accept?

Health plans from BlueCross BlueShield of Tennessee list Mary Hollomon 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 Mary Hollomon was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.