SHANE HOLLOWAY (FNP-C) – Nurse Practitioner, NPI 1821534231
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
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Provider Addresses for SHANE HOLLOWAY (FNP-C)
1401 FORUM BLVD STE 202
COLUMBIA, MO 652031915
Phone: (573) 234-1367
Type: Mailing
1705, East Broadway, Strollway, Columbia, Boone County, Missouri, 65201, United States
COLUMBIA, MO 652017166
Phone: (573) 874-7800
Type: Mailing
105, North Keene Street, Columbia, Boone County, Missouri, 65201, United States
STE 201
COLUMBIA, MO 652018131
Phone: (573) 499-4990
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-05-01 • Largest payer in this snapshot: Dexcom, Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, 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: 2017-02-28
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 |
|---|---|---|---|---|
| I20170228002548 | 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 |
|---|---|---|---|---|
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 2,377 | 53 | $0 |
| J1955 | Injection, levocarnitine, per 1 gm | 1,952 | 78 | $0 |
| J3415 | Injection, pyridoxine hcl, 100 mg | 1,386 | 76 | $0 |
| J3411 | Injection, thiamine hcl, 100 mg | 1,356 | 75 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 1,119 | 77 | $0 |
Insurance plans in this area (ZIP 65203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS |
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