Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly C Komar, NP

Individual provider Nurse Practitioner · NPI 1184216137

Holly C Komar, NP is a Nurse Practitioner in Middletown, Rhode Island. Qualified in 2020, 6 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
6
Licensed in
MA, RI
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

676 Aquidneck Ave
Middletown, RI 02842-5795
Phone: (401) 849-9042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1076 N Main St, Providence, RI 02904-5760 — (401) 273-2460

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN02601 (RI)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2286835 (MA)

Record details

NPI number1184216137
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 10, 2021
Last updated in NPPESSeptember 8, 2024
Certification dateSeptember 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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