CYNTHIA LYNN HOLLIS-KEENE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1396067906
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for CYNTHIA LYNN HOLLIS-KEENE (PMHNP)
1540 E Evergreen St
Springfield, MO 658034300
Phone: (417) 823-2900
Fax: (417) 886-2774
Type: Location
1300 E Bradford Pkwy
Springfield, MO 658044264
Phone: (417) 761-5000
Fax: (417) 761-5011
Type: Location
10520 W FARM ROAD 60
WALNUT GROVE, MO 657702825
Phone: (417) 268-7952
Fax: (417) 886-2774
Type: Mailing
1540 E EVERGREEN ST
SPRINGFIELD, MO 658034300
Phone: (417) 823-2900
Fax: (417) 886-2774
Type: Mailing
Burrell Behavioral Health, 1300, East Bradford Parkway, Springfield, Greene County, Missouri, 65804, United States
SPRINGFIELD, MO 658044264
Phone: (417) 761-5000
Fax: (417) 761-5011
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,002.
Total Amount is formed as General ($1,002) + Research ($0) + Ownership ($0) = $1,002.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($263).
Total Amount
$1,002
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,002
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $263 |
| Lilly USA, LLC | $212 |
| GENZYME CORPORATION | $125 |
| Lundbeck LLC | $123 |
| Abbott Laboratories | $100 |
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: 2025-03-04
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 |
|---|---|---|---|---|
| I20101027000345 | I | Nurse Practitioner | MO | TBD |
| I20190222000842 | I | Nurse Practitioner | KS | TBD |
| I20250304000215 | I | Nurse Practitioner | WA | 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 65803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | MO | |
| - | TN | |
| Mental Health Counselor | WA | |
| P S Y C H I A T R Y | WA | |
| Nurse Practitioner | WA | |
| - | CA | |
| Nurse Practitioner | WA |
Reviews
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