JEFFERY R HOLLIS (M.D.) – Family Medicine Physician, NPI 1144244138

JEFFERY R HOLLIS (M.D.) is a healthcare provider. based in Geneva, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 16121 (NE). The NPI Number for JEFFERY R HOLLIS (M.D.) is 1144244138

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JEFFERY R HOLLIS (M.D.)
NPI
1144244138
Phone
(402) 759-4485
Address
PO BOX 268
Enumeration Date
26 July 2006
Last Update Date
6 March 2025

Doctor Profile

Medical School Name
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
4024834571
Graduation Year
1981 (45 years ago)
PAC ID
9739143546
Group Practice PAC ID
4880645407
Professional Enrollment ID
I20041111001087
Address ID
NE685104882LI4600XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

953 FAMILY PRACTICE in NE

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Provider Addresses for JEFFERY R HOLLIS (M.D.)

  • Le Box, 15, Place de l'Octroi, Carouge (GE), Geneva, 1227, Switzerland

    GENEVA, NE 683610268

    Phone: (402) 759-4485

    Fax: (402) 759-4487

    Type: Mailing

  • Fillmore County Medical Center, 1840, F Street, Geneva, Fillmore County, Nebraska, 68361, United States

    GENEVA, NE 683612211

    Phone: (402) 759-4485

    Fax: (402) 759-4487

    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: 2004-11-11

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
I20041111001087IFamily PracticeNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68361)

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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: 4880645407View full group profile
NameSpecialtyState
Physician AssistantNE
Family PracticeNE
Hospitalist, Internal MedicineNE
Family PracticeNE
Mental Health CounselorNE
Family PracticeNE
Physician AssistantNE
Family PracticeNE
-NE
Family PracticeNE

Reviews

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Frequently asked questions

How is JEFFERY R HOLLIS (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JEFFERY R HOLLIS (M.D.) with NPI 1144244138.
Does the file indicate JEFFERY R HOLLIS (M.D.) is practicing under active NPI?
Directory data currently reports JEFFERY R HOLLIS (M.D.) as active.
What taxonomy line describes JEFFERY R HOLLIS (M.D.)?
For research purposes, treat JEFFERY R HOLLIS (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is JEFFERY R HOLLIS (M.D.) based?
JEFFERY R HOLLIS (M.D.) is tied to Geneva, Nebraska in the data we show; additional addresses may exist on the full record.
Is the information about JEFFERY R HOLLIS (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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