JESSICA CALISTA HOLLY (NP) – Registered Nurse, NPI 1073243226
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,551 NURSE PRACTITIONER in KS
Provider Addresses for JESSICA CALISTA HOLLY (NP)
1554 ANDERSON DR
WEBB CITY, MO 648709509
Phone: (417) 437-5967
Type: Mailing
1701 S BROADWAY ST
PITTSBURG, KS 667625856
Phone: (620) 235-4431
Fax: (620) 235-4449
Type: Location
PO BOX 3810
JOPLIN, MO 648033810
Phone: (417) 347-3474
Type: Mailing
1331 W 32ND ST
JOPLIN, MO 648041601
Phone: (417) 347-6737
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: 2023-07-07
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 |
|---|---|---|---|---|
| I20230707003472 | I | Nurse Practitioner | MO | 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 | 82 | 76 | $0 |
| 69210 | Removal of impacted ear wax | 43 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 64870)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | KS | |
| U R O L O G Y | MO | |
| R H E U M A T O L O G Y | MO | |
| Nurse Practitioner | MO | |
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| - | MO | |
| Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists) | MO |
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