RACHEL DALE HOLLENBACH (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1578092201
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for RACHEL DALE HOLLENBACH (ARNP)
3356 Silver Palm Rd
Jacksonville Beach, FL 322502364
Phone: (904) 400-9319
Type: Location
4217, Baymeadows Road, Jacksonville, Duval County, Florida, 32217, United States
SUITE 2
JACKSONVILLE, FL 322174676
Phone: (904) 332-7431
Fax: (904) 332-7408
Type: Mailing
9838 OLD BAYMEADOWS RD
# 388
JACKSONVILLE, FL 322568101
Phone: (904) 332-7431
Fax: (904) 332-7408
Type: Mailing
Baymeadows Road, Stonebridge Village Master, Stockade, Jacksonville, Duval County, Florida, 32256, United States
JACKSONVILLE, FL 322174676
Phone: (904) 332-7431
Fax: (904) 332-7408
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-08-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170811002927 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,982 | 585 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 818 | 712 | $0 |
Insurance plans in this area (ZIP 32250)
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