MS. NANCY R HOLMES (C.C.C.-A.) – Audiologist, NPI 1184643173

MS. NANCY R HOLMES (C.C.C.-A.) is a healthcare provider. based in St louis park, Minnesota. specializing in Audiologist. They hold the professional credentials C.C.C.-A.. The NPI Number for MS. NANCY R HOLMES (C.C.C.-A.) is 1184643173

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. NANCY R HOLMES (C.C.C.-A.)
NPI
1184643173
Phone
Not provided
Address
6465 WAYZATA BLVD
Enumeration Date
19 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529932400
Graduation Year
2008 (18 years ago)
PAC ID
3375601834
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20081028000207
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MS. NANCY R HOLMES (C.C.C.-A.)

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    STE 315

    ST LOUIS PARK, MN 554261728

    Phone:

    Type: Mailing

  • 14000, Fairview Drive, Burnsville, Dakota County, Minnesota, 55337, United States

    BURNSVILLE, MN 553375713

    Phone: (952) 993-8657

    Fax: (952) 993-8601

    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: 2008-10-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081028000207IQualified AudiologistMNTBD

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
92557Comprehensive hearing and speech recognition test3535$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Provider's Procedures

MS. NANCY R HOLMES (C.C.C.-A.) performs procedures in Audiologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTMN92552Pure tone air conduction threshold hearing assessment1919

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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Can I cross-check MS. NANCY R HOLMES (C.C.C.-A.) using NPI 1184643173?
NPI 1184643173 belongs to MS. NANCY R HOLMES (C.C.C.-A.); compare other details if you need extra assurance.
Active or inactive — what applies to MS. NANCY R HOLMES (C.C.C.-A.)?
You should see MS. NANCY R HOLMES (C.C.C.-A.) as active in CMS-hosted NPPES data.
What clinical focus is listed for MS. NANCY R HOLMES (C.C.C.-A.)?
At a glance, MS. NANCY R HOLMES (C.C.C.-A.) is tied to Audiologist. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MS. NANCY R HOLMES (C.C.C.-A.) registered?
Use St Louis Park, Minnesota as the headline location for MS. NANCY R HOLMES (C.C.C.-A.) here.
When was this NPI issued?
Enumeration for MS. NANCY R HOLMES (C.C.C.-A.) is noted as July 19, 2006 where the registry provides it.

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