VICTORIA MARY KERRY HOLLOWAY – Acute Care Nurse Practitioner, NPI 1396303202

VICTORIA MARY KERRY HOLLOWAY is a healthcare provider. based in Lutz, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 5011817 (NC). The NPI Number for VICTORIA MARY KERRY HOLLOWAY is 1396303202

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA MARY KERRY HOLLOWAY
NPI
1396303202
Phone
(813) 391-6282
Address
4110 HERITAGE LAKE CT
Enumeration Date
5 June 2019
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2528471757
Graduation Year
2024 (2 years ago)
PAC ID
8224368204
Group Practice PAC ID
0345343893
Professional Enrollment ID
I20190918002519
Address ID
NC278342818GR2100XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

10,252 NURSE PRACTITIONER in NC

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Provider Addresses for VICTORIA MARY KERRY HOLLOWAY

  • 4110 HERITAGE LAKE CT

    LUTZ, FL 335589724

    Phone: (813) 391-6282

    Type: Mailing

  • Vidant Medical Center, 2100, Stantonsburg Road, Lincoln Park, Greenville, Pitt County, North Carolina, 27835, United States

    GREENVILLE, NC 278342818

    Phone: (252) 572-2391

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-02-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-14

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: 2025-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190918002519INurse PractitionerNCTBD
I20250512001531INurse PractitionerNJTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4141$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 33558)

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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: 0345343893View full group profile

Reviews

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Frequently asked questions

How do payers reference VICTORIA MARY KERRY HOLLOWAY?
For VICTORIA MARY KERRY HOLLOWAY, use NPI 1396303202 as the unique 10-digit identifier.
Is there an active status for VICTORIA MARY KERRY HOLLOWAY?
For scheduling context, VICTORIA MARY KERRY HOLLOWAY is shown as active in the registry.
What kind of doctor is VICTORIA MARY KERRY HOLLOWAY?
VICTORIA MARY KERRY HOLLOWAY is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with VICTORIA MARY KERRY HOLLOWAY?
Directory geography for VICTORIA MARY KERRY HOLLOWAY centers on Lutz, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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