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

Holly Lyne Terrell

Individual provider Registered Nurse · NPI 1457910689

Holly Lyne Terrell is a Nurse Practitioner in Bloomington, Indiana. Qualified in 2018, 8 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

601 W 2nd St
Bloomington, IN 47403-2317
Phone: (812) 353-9515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71009575A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28167280A (IN)

Record details

NPI number1457910689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing addressPo Box 1329, Bloomington, IN 47402-1329

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bloomington