JEREMY C HOLLINGSEAD (FNP) – Family Nurse Practitioner, NPI 1376000232
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for JEREMY C HOLLINGSEAD (FNP)
PO BOX 1700
ROSEBURG, OR 974700414
Phone: (541) 229-7038
Fax: (541) 464-4474
Type: Mailing
320 E HIGHWAY 50
O FALLON, IL 622692704
Phone: (618) 624-3368
Fax: (618) 624-3387
Type: Mailing
1813 W Harvard Ave Ste 201
Roseburg, OR 974712754
Phone: (541) 440-6390
Fax: (541) 440-6392
Type: Location
2001 State St
East Saint Louis, IL 622051803
Phone: (618) 301-4505
Type: Location
3031, Northeast Stephens Street, Roseburg, Douglas County, Oregon, 97470, United States
ROSEBURG, OR 974706237
Phone: (541) 229-7038
Fax: (541) 464-4474
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: 2022-03-14
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 |
|---|---|---|---|---|
| I20220314001515 | I | Nurse Practitioner | IL | 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 | 159 | 149 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 63 | 63 | $0 |
Insurance plans in this area (ZIP 97470)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | LA | |
| Critical Care (Intensivists), Internal Medicine | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| Emergency Medicine | CA | |
| Emergency Medicine, Family Practice | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Cardiac Surgery, General Surgery | MN |
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