SHANDA HOLENDA – Case Manager/Care Coordinator, NPI 1225444003

SHANDA HOLENDA is a healthcare provider. based in Grove, Oklahoma. specializing in CLINICAL SOCIAL WORKER. The NPI Number for SHANDA HOLENDA is 1225444003

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SHANDA HOLENDA
NPI
1225444003
Phone
(918) 786-4434
Address
1115 HARBOR RD
Enumeration Date
1 July 2014
Last Update Date
1 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187864434
Graduation Year
2014 (12 years ago)
PAC ID
9830478627
Group Practice PAC ID
4688711534
Professional Enrollment ID
I20161118000851
Address ID
OK743443505GR1115XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

Provider Addresses for SHANDA HOLENDA

  • 1115 HARBOR RD

    GROVE, OK 743443505

    Phone: (918) 786-4434

    Fax: (918) 786-4435

    Type: Location

  • 114 W DELAWARE AVE

    NOWATA, OK 740482601

    Phone: (918) 273-1841

    Fax: (918) 273-1843

    Type: Mailing

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: 2016-11-18

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
I20161118000851IClinical Social WorkerOKTBD

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
90832Psychotherapy, 30 minutes4113$0
View full utilization report →

Insurance plans in this area (ZIP 74344)

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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: 4688711534View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Mental Health CounselorOK
-OK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
-OK
Mental Health CounselorOK
Mental Health CounselorKS
Marriage And Family TherapistOK

Reviews

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Frequently asked questions

Does SHANDA HOLENDA have a public NPI I can cite?
Public records show SHANDA HOLENDA under NPI 1225444003.
Should I treat SHANDA HOLENDA as an active provider?
Patients and plans typically see SHANDA HOLENDA as active in the national extract.
What type of care does SHANDA HOLENDA provide?
SHANDA HOLENDA's profile centers on Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
What city is tied to SHANDA HOLENDA?
The directory associates SHANDA HOLENDA with Grove, Oklahoma. Check all listed addresses for suites or satellite offices.
Can I export SHANDA HOLENDA's record?
You can download the official NPPES record; we summarize key fields for readability.

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