BRENDA LEE HOLMES (P.A.) – Medical Physician Assistant, NPI 1164553459

BRENDA LEE HOLMES (P.A.) is a healthcare provider. based in La mesa, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA14674 (CA). The NPI Number for BRENDA LEE HOLMES (P.A.) is 1164553459

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA LEE HOLMES (P.A.)
NPI
1164553459
Phone
(619) 462-5555
Address
8881 FLETCHER PKWY
Enumeration Date
8 March 2007
Last Update Date
12 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
2668784893
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20210517002227
Address ID
TX752461608DA4001XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
bholmes797262@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for BRENDA LEE HOLMES (P.A.)

  • 8881 FLETCHER PKWY

    SUITE 370

    LA MESA, CA 919423134

    Phone: (619) 462-5555

    Fax: (619) 462-5572

    Type: Mailing

  • 8881 FLETCHER PARKWAY

    SUITE # 370

    LA MESA, CA 91942

    Phone: (619) 462-5555

    Fax: (619) 462-5572

    Type: Location

  • 7217 TELECOM PKWY STE 100

    GARLAND, TX 750442203

    Phone: (469) 800-2100

    Fax: (469) 800-2310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $1,740.

Total Amount is formed as General ($1,740) + Research ($0) + Ownership ($0) = $1,740.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Novo Nordisk Inc ($531).

Total Amount

$1,740

General + Research + Ownership

Payments

101

Total payment records

General Amount

$1,740

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210517002227IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes232184$0
36415Insertion of needle into vein for collection of blood sample171132$0
J1100Injection, dexamethasone sodium phosphate, 1 mg15218$0
99213Established patient office or other outpatient visit, 20-29 minutes7466$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6363$0
View full utilization report →

Insurance plans in this area (ZIP 91942)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

What NPI should I save for BRENDA LEE HOLMES (P.A.)?
Save NPI 1164553459 if you need a stable reference for BRENDA LEE HOLMES (P.A.).
Is BRENDA LEE HOLMES (P.A.)'s NPI currently valid?
The extract we use shows BRENDA LEE HOLMES (P.A.) as active.
Can you summarize BRENDA LEE HOLMES (P.A.)'s specialty in plain language?
Clinically, the directory lists BRENDA LEE HOLMES (P.A.) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is BRENDA LEE HOLMES (P.A.)'s primary listing?
We display La Mesa, California because that is what the record indicates for BRENDA LEE HOLMES (P.A.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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