HOLLY ALYSE PARKER (PA-C) – Physician Assistant, NPI 1952713356

HOLLY ALYSE PARKER (PA-C) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 4874 (OK). The NPI Number for HOLLY ALYSE PARKER (PA-C) is 1952713356

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY ALYSE PARKER (PA-C)
NPI
1952713356
Phone
(405) 749-4205
Address
4120 W MEMORIAL RD STE 102
Enumeration Date
20 May 2014
Last Update Date
7 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4093845701
Graduation Year
2014 (12 years ago)
PAC ID
5597194035
Group Practice PAC ID
8921919580
Professional Enrollment ID
I20200403000345
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for HOLLY ALYSE PARKER (PA-C)

  • 4120 W MEMORIAL RD STE 102

    OKLAHOMA CITY, OK 731209322

    Phone: (405) 749-4205

    Fax: (405) 749-4248

    Type: Mailing

  • 360 BUCKBOARD LN

    CIBOLO, TX 781083799

    Phone: (210) 705-5100

    Fax: (210) 705-5106

    Type: Mailing

  • 221 3RD ST W BLDG 1040

    RANDOLPH AFB, TX 781504800

    Phone: (210) 652-2556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 166 Open Payments records for all available years, with a total value of $2,856.

Total Amount is formed as General ($2,856) + Research ($0) + Ownership ($0) = $2,856.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($507).

Total Amount

$2,856

General + Research + Ownership

Payments

166

Total payment records

General Amount

$2,856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200403000345IPhysician AssistantTXTBD
I20221019000803IPhysician AssistantOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes283166$0
99215Established patient office or other outpatient visit, 40-54 minutes13896$0
95984Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional8011$0
95983Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional3911$0
99205New patient office or other outpatient visit, 60-74 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 73120)

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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: 8921919580View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineTX
Physician AssistantWA
Nurse PractitionerTX
-TX
-TX
-TX
-LA
-TX
Nurse PractitionerLA
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)TX

Reviews

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Frequently asked questions

Can I verify HOLLY ALYSE PARKER (PA-C) with an NPI only?
You can start verification with NPI 1952713356 for HOLLY ALYSE PARKER (PA-C), then check state licensing separately.
Is HOLLY ALYSE PARKER (PA-C) still practicing?
HOLLY ALYSE PARKER (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes HOLLY ALYSE PARKER (PA-C)?
For research purposes, treat HOLLY ALYSE PARKER (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for HOLLY ALYSE PARKER (PA-C)?
HOLLY ALYSE PARKER (PA-C)'s geographic hint is Oklahoma City, Oklahoma in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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