HOLLEY CABALLES HARRIS – Certified Registered Nurse Anesthetist, NPI 1063551018

HOLLEY CABALLES HARRIS is a healthcare provider. based in Fort collins, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. C-APN.0001411-C-CRNA (CO). The NPI Number for HOLLEY CABALLES HARRIS is 1063551018

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
HOLLEY CABALLES HARRIS
NPI
1063551018
Phone
(970) 224-2985
Address
3702 AUTOMATION WAY STE 103
Enumeration Date
6 February 2007
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9706695432
Graduation Year
2006 (20 years ago)
PAC ID
4486754124
Group Practice PAC ID
9537059555
Professional Enrollment ID
I20190520002625
Address ID
CO805375136LO2555XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

803 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

Provider Addresses for HOLLEY CABALLES HARRIS

  • 3702 AUTOMATION WAY STE 103

    FORT COLLINS, CO 805255738

    Phone: (970) 224-2985

    Fax: (970) 223-1118

    Type: Mailing

  • 3702 S TIMBERLINE RD STE A

    FORT COLLINS, CO 805253625

    Phone: (970) 207-9773

    Fax: (970) 207-1893

    Type: Mailing

  • 2555 E 13TH ST STE 220

    LOVELAND, CO 805375136

    Phone: (970) 669-5432

    Type: Location

  • 8227 W 20th St

    Greeley, CO 806343039

    Phone: (970) 573-7555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $808.

Total Amount is formed as General ($808) + Research ($0) + Ownership ($0) = $808.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($438).

Total Amount

$808

General + Research + Ownership

Payments

34

Total payment records

General Amount

$808

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2019-05-20

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
I20190520002625ICertified Registered Nurse Anesthetist (Crna)COTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope136135$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope7168$0
00812Anesthesia for exam of colon using an endoscope6666$0
00813Anesthesia for procedure on small and large bowel using an endoscope4545$0
View full utilization report →

Insurance plans in this area (ZIP 80525)

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Provider's Procedures

HOLLEY CABALLES HARRIS performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETTX01402Anesthesia for open or endoscopic total knee joint replacement2121

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: 9537059555View full group profile
NameSpecialtyState
Physician AssistantCO
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)CO
G A S T R O E N T E R O L O G YCO
Internal Medicine, GastroenterologyMI
Certified Registered Nurse Anesthetist (Crna)CO
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)CO
G A S T R O E N T E R O L O G YCO

Reviews

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Frequently asked questions

What number should I use to identify HOLLEY CABALLES HARRIS for billing?
Administrative and clinical systems typically use NPI 1063551018 for HOLLEY CABALLES HARRIS.
Quick check: is HOLLEY CABALLES HARRIS active?
Public NPPES data shows HOLLEY CABALLES HARRIS with an active NPI status right now.
What services align with HOLLEY CABALLES HARRIS's listing?
HOLLEY CABALLES HARRIS's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to HOLLEY CABALLES HARRIS?
HOLLEY CABALLES HARRIS is associated with Fort Collins, Colorado in the same public data insurers reference.
Why is information missing for HOLLEY CABALLES HARRIS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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