MRS. HOLLI SURBER (NP) – Family Nurse Practitioner, NPI 1124458286
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
Provider Addresses for MRS. HOLLI SURBER (NP)
814 PIERCE ST STE 300
SIOUX CITY, IA 511011058
Phone: (712) 226-2600
Fax: (712) 226-2605
Type: Mailing
100 INDIAN HILLS DR
PO BOX 250
MACY, NE 680393023
Phone: (402) 837-5381
Fax: (402) 837-5070
Type: Mailing
4545 SERGEANT RD
SIOUX CITY, IA 511064706
Phone: (712) 274-2400
Fax: (712) 274-1487
Type: Location
200 GOLD CIR STE 120
DAKOTA DUNES, SD 570495501
Phone: (605) 217-0700
Fax: (605) 217-0701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $189.
Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($44).
Total Amount
$189
General + Research + Ownership
Payments
9
Total payment records
General Amount
$189
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Xeris Pharmaceuticals, Inc. | $44 |
| Abbott Laboratories | $40 |
| ABBVIE INC. | $38 |
| ABIOMED | $20 |
| Seqirus USA Inc | $19 |
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: 2018-12-28
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 |
|---|---|---|---|---|
| I20181228001405 | I | Nurse Practitioner | IA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 214 | 173 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 154 | 109 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 121 | 80 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 91 | 69 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 78 | 55 | $0 |
Insurance plans in this area (ZIP 51101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| - | IA | |
| - | IA | |
| Family Practice, Osteopathic Manipulative Medicine | SD | |
| - | IA | |
| Family Practice | IA | |
| Family Practice | NE | |
| - | NE | |
| Family Practice | IA | |
| - | IA |
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