CAROLYN B HOLENCIK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1528067634

CAROLYN B HOLENCIK (CRNA) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 040159 (PA). The NPI Number for CAROLYN B HOLENCIK (CRNA) is 1528067634

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN B HOLENCIK (CRNA)
NPI
1528067634
Phone
(717) 782-5118
Address
4300 LONDONDERRY RD
Enumeration Date
20 July 2005
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7175456200
Graduation Year
1988 (38 years ago)
PAC ID
3173592755
Group Practice PAC ID
6901877729
Professional Enrollment ID
I20040930000132
Address ID
PA171129531HA4341XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Provider Addresses for CAROLYN B HOLENCIK (CRNA)

  • 4300 LONDONDERRY RD

    HARRISBURG, PA 171095317

    Phone: (717) 782-5118

    Fax: (717) 782-5854

    Type: Location

  • 423 N 21st St

    Suite 106

    Camp Hill, PA 170112207

    Phone: (717) 975-2430

    Type: Location

  • 423, North 21st Street, Camp Hill, Cumberland County, Pennsylvania, 17011, United States

    SUITE 106

    CAMP HILL, PA 170112207

    Phone: (717) 975-2430

    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: 2004-09-30

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
I20040930000132ICertified Registered Nurse Anesthetist (Crna)PATBD

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
00170Anesthesia for other procedure on mouth1111$0
View full utilization report →

Insurance plans in this area (ZIP 17109)

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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: 6901877729View full group profile
NameSpecialtyState
Maxillofacial SurgeryTX
-PA
Maxillofacial Surgery, Oral SurgeryMA
Certified Registered Nurse Anesthetist (Crna)PA
Oral SurgeryOH
-PA
Certified Registered Nurse Anesthetist (Crna)PA
-PA
Certified Registered Nurse Anesthetist (Crna)PA
Oral SurgeryCO

Reviews

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Frequently asked questions

How do I look up CAROLYN B HOLENCIK (CRNA) by NPI?
Use NPI 1528067634 when you need to reference CAROLYN B HOLENCIK (CRNA) in forms, claims, or directories.
Does this profile mean CAROLYN B HOLENCIK (CRNA) is currently active?
Yes — CAROLYN B HOLENCIK (CRNA) appears active in the national provider directory.
What field does CAROLYN B HOLENCIK (CRNA) work in?
You can think of CAROLYN B HOLENCIK (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is CAROLYN B HOLENCIK (CRNA)'s primary listing?
We display Harrisburg, Pennsylvania because that is what the record indicates for CAROLYN B HOLENCIK (CRNA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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