HOLLY ANNE ARNOLD (PA-C) – Medical Physician Assistant, NPI 1083876148

HOLLY ANNE ARNOLD (PA-C) is a healthcare provider. based in Mc kenzie, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1622 (TN). The NPI Number for HOLLY ANNE ARNOLD (PA-C) is 1083876148

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY ANNE ARNOLD (PA-C)
NPI
1083876148
Phone
(731) 352-7907
Address
205 HOSPITAL DR
Enumeration Date
30 June 2008
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
8527133990
Group Practice PAC ID
2365427853
Professional Enrollment ID
I20080819000824
Address ID
TN382011649MC205XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for HOLLY ANNE ARNOLD (PA-C)

  • Mc Kenzie, 4, Piazza Andrea Costa, Centro storico, Fano, Pesaro e Urbino, Marche, 61032, Italy

    SUITE A

    MC KENZIE, TN 382011649

    Phone: (731) 352-7907

    Fax: (731) 352-4459

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $626.

Total Amount is formed as General ($626) + Research ($0) + Ownership ($0) = $626.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Ironshore Pharmaceuticals Inc. ($152).

Total Amount

$626

General + Research + Ownership

Payments

38

Total payment records

General Amount

$626

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

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: 2008-08-19

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
I20080819000824IPhysician AssistantTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38201)

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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: 2365427853View full group profile
NameSpecialtyState
Physician AssistantTN
Nurse PractitionerTN
Clinical Social WorkerTN
Nurse PractitionerTN
Nurse PractitionerTN
Marriage And Family TherapistTN
Nurse PractitionerTN
Clinical Social WorkerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I use this page to confirm HOLLY ANNE ARNOLD (PA-C)'s NPI?
Yes. HOLLY ANNE ARNOLD (PA-C) is listed with NPI 1083876148 in the public NPI dataset.
Does the file indicate HOLLY ANNE ARNOLD (PA-C) is practicing under active NPI?
Directory data currently reports HOLLY ANNE ARNOLD (PA-C) as active.
What taxonomy line describes HOLLY ANNE ARNOLD (PA-C)?
For research purposes, treat HOLLY ANNE ARNOLD (PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does HOLLY ANNE ARNOLD (PA-C) serve?
HOLLY ANNE ARNOLD (PA-C)'s listing highlights Mc Kenzie, Tennessee; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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