MS. DOMINIQUE STARR CROSBY HOLLEY (D.O.) – Psychiatry Physician, NPI 1639433360
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
398 PSYCHIATRY in KY
Provider Addresses for MS. DOMINIQUE STARR CROSBY HOLLEY (D.O.)
650 Joel Dr
Fort Campbell, KY 422235318
Phone: (301) 295-4611
Type: Location
109 W 27th St Ste 5S
New York, NY 100010265
Phone: (833) 351-8255
Type: Location
2800 Eisenhower Ave Ste 220
Alexandria, VA 223144587
Phone: (833) 351-8255
Type: Location
650 JOEL DR
FORT CAMPBELL, KY 422235318
Phone:
Type: Mailing
PO BOX 24449
NEW YORK, NY 100870589
Phone: (833) 351-8255
Type: Mailing
315 DEADERICK ST STE 1550
NASHVILLE, TN 372383003
Phone: (833) 351-8255
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 $117.
Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: ABBVIE INC. ($117).
Total Amount
$117
General + Research + Ownership
Payments
1
Total payment records
General Amount
$117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $117 |
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: 2024-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20231211000388 | I | Psychiatry | TN | TBD |
| I20240222003857 | I | Psychiatry | NY | TBD |
| I20240824000344 | I | Psychiatry | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | MI | |
| P S Y C H I A T R Y | NY | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | IN | |
| P S Y C H I A T R Y | CO | |
| P S Y C H I A T R Y | NY | |
| Clinical Social Worker | MA | |
| P S Y C H I A T R Y | NY |
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