Mrs Holly M Endo, FNP-BC - Medicare Nurse Practitioner in Cleveland, TN

Mrs Holly M Endo, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Tennessee. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tennessee Kidney Care Pllc and her current practice location is 905 Clingan Ridge Dr Nw, Cleveland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 476-6166.

Mrs Holly M Endo is licensed to practice in Tennessee (license number 23920) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114428026.

Contact Information

Mrs Holly M Endo, FNP-BC
905 Clingan Ridge Dr Nw,
Cleveland, TN 37312-3729
(423) 476-6166
Not Available



Provider's Profile

Full NameMrs Holly M Endo
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location905 Clingan Ridge Dr Nw, Cleveland, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Holly M Endo graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1114428026
  • Provider Enumeration Date: 02/26/2018
  • Last Update Date: 09/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163770041
  • Enrollment ID: I20180809000637

Medical Identifiers

Medical identifiers for Mrs Holly M Endo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114428026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23920 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennova Health Care-clevelandCleveland, TNHospital
Rhea Medical CenterDayton, TNHospital
Starr Regional Medical Center AthensAthens, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tennessee Kidney Care Pllc28607804593

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Holly M Endo allows following entities to bill medicare on her behalf.
Entity NameTennessee Kidney Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073963716
PECOS PAC ID: 2860780459
Enrollment ID: O20161014000293

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Holly M Endo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Holly M Endo, FNP-BC
Po Box 3877,
Joliet, IL 60434-3877

Ph: (815) 714-7171
Mrs Holly M Endo, FNP-BC
905 Clingan Ridge Dr Nw,
Cleveland, TN 37312-3729

Ph: (423) 476-6166

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Nurse Practitioner Nurses in Cleveland, TN

Janet Leigh Zarzour, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3530 Keith St Nw, Cleveland, TN 37312
Phone: 615-673-6737    Fax: 800-474-4039
Miss Margie Amanda Cook, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2253 Chambliss Ave Nw, Suite 202, Cleveland, TN 37311
Phone: 423-472-3332    Fax: 423-472-3830
Marissa Lyn Withrow,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2424 N Ocoee St, Cleveland, TN 37311
Phone: 866-389-2727    Fax: 401-216-3854
Robert Breck Lang, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2020 Westland Dr Sw, Cleveland, TN 37311
Phone: 423-478-1970    
Lindsey C Baxter, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1482 Old Charleston Rd Ne, Cleveland, TN 37312
Phone: 423-544-9596    
Mary Michelle Youngblood, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2085 Brentwood Trl Sw, Cleveland, TN 37311
Phone: 423-284-9390    
Kellye Fryar, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 463 1st St Nw, Cleveland, TN 37311
Phone: 423-790-7662    Fax: 423-790-7664

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