HOLLY R EITEL – Family Nurse Practitioner, NPI 1144191305

HOLLY R EITEL is a healthcare provider. based in Marshall, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1215376 (TX). The NPI Number for HOLLY R EITEL is 1144191305

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
HOLLY R EITEL
NPI
1144191305
Phone
(903) 927-3782
Address
PO BOX 1326
Enumeration Date
12 September 2025
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037911110
Graduation Year
2025 (1 year ago)
PAC ID
6305335647
Group Practice PAC ID
8820038565
Professional Enrollment ID
I20251028002320
Address ID
TX755033536TE1400XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for HOLLY R EITEL

  • PO BOX 1326

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

  • 1400 COLLEGE DR

    TEXARKANA, TX 755033536

    Phone: (903) 791-1110

    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: 2025-10-28

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
I20251028002320INurse PractitionerTXTBD

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 75671)

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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: 8820038565View full group profile
NameSpecialtyState
Mental Health CounselorTX
-TX
Physician AssistantTX
O B S T E T R I C S/ G Y N E C O L O G YLA
Clinical Social WorkerAR
Mental Health CounselorTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the standard ID for HOLLY R EITEL in the U.S.?
In the U.S., HOLLY R EITEL is identified by NPI 1144191305.
Should I treat HOLLY R EITEL as an active provider?
Patients and plans typically see HOLLY R EITEL as active in the national extract.
What services align with HOLLY R EITEL's listing?
HOLLY R EITEL's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to HOLLY R EITEL?
HOLLY R EITEL is associated with Marshall, Texas in the same public data insurers reference.
Can I export HOLLY R EITEL's record?
You can download the official NPPES record; we summarize key fields for readability.

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