HOLLY ELIZABETH CUNNINGHAM – Family Nurse Practitioner, NPI 1720747355
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for HOLLY ELIZABETH CUNNINGHAM
4600 SE 29th St Ste 750
Del City, OK 731153407
Phone: (405) 733-5900
Fax: (405) 733-5905
Type: Location
1716 N Highway 40 Ste 201
Heber City, UT 840324677
Phone: (435) 709-4202
Fax: (435) 503-9444
Type: Location
4600 SE 29TH ST STE 750
DEL CITY, OK 731153407
Phone: (405) 733-5900
Fax: (405) 733-5905
Type: Location
4600 SE 29TH ST
STE 750
DEL CITY, OK 731153407
Phone: (405) 733-5900
Fax: (405) 733-5905
Type: Mailing
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
900 ROUND VALLEY DR STE 200
PARK CITY, UT 840607552
Phone: (435) 658-7400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $152.
Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.
Last reported payment date: 2023-05-11 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($62).
Total Amount
$152
General + Research + Ownership
Payments
9
Total payment records
General Amount
$152
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220119001894 | I | Nurse Practitioner | OK | TBD |
| I20231006001141 | I | Nurse Practitioner | UT | 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 | 37 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 28 | $0 |
Insurance plans in this area (ZIP 73115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Pain Management, Anesthesiology | OK |
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