MS. SHANA RAE HOLMAN (FNP) – Nurse Practitioner, NPI 1184214306

MS. SHANA RAE HOLMAN (FNP) is a healthcare provider. based in Galesburg, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209022719 (IL). The NPI Number for MS. SHANA RAE HOLMAN (FNP) is 1184214306

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHANA RAE HOLMAN (FNP)
NPI
1184214306
Phone
(309) 335-1970
Address
2762 SPRINGER RD APT 8
Enumeration Date
21 January 2021
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096436185
Graduation Year
2020 (6 years ago)
PAC ID
5496132276
Group Practice PAC ID
3476440173
Professional Enrollment ID
I20220517001253
Address ID
IL615712181WA209XXLNXX400

Contacts

Main Contact
Galesburg
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. SHANA RAE HOLMAN (FNP)

  • 2762 SPRINGER RD APT 8

    GALESBURG, IL 614017514

    Phone: (309) 335-1970

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $658.

Total Amount is formed as General ($658) + Research ($0) + Ownership ($0) = $658.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($252).

Total Amount

$658

General + Research + Ownership

Payments

37

Total payment records

General Amount

$658

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2022-05-17

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
I20220517001253INurse PractitionerILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes208142$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6814$0
99203New patient office or other outpatient visit, 30-44 minutes3131$0
81003Automated urinalysis test2117$0
99214Established patient office or other outpatient visit, 30-39 minutes2116$0
View full utilization report →

Insurance plans in this area (ZIP 61401)

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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: 3476440173View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Addiction Medicine, Family PracticeIL
Family PracticeIL
Internal MedicineCO
Family PracticeIL
Family PracticeIA

Reviews

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Frequently asked questions

Does MS. SHANA RAE HOLMAN (FNP) have a public NPI I can cite?
Public records show MS. SHANA RAE HOLMAN (FNP) under NPI 1184214306.
Quick check: is MS. SHANA RAE HOLMAN (FNP) active?
Public NPPES data shows MS. SHANA RAE HOLMAN (FNP) with an active NPI status right now.
What type of care does MS. SHANA RAE HOLMAN (FNP) provide?
MS. SHANA RAE HOLMAN (FNP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. SHANA RAE HOLMAN (FNP)?
MS. SHANA RAE HOLMAN (FNP) is associated with Galesburg, Illinois in the same public data insurers reference.
Who maintains MS. SHANA RAE HOLMAN (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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