LEANN HOLLOWAY (NP) – Family Nurse Practitioner, NPI 1174057939

LEANN HOLLOWAY (NP) is a healthcare provider. based in Vidor, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP133253 (TX). The NPI Number for LEANN HOLLOWAY (NP) is 1174057939

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LEANN HOLLOWAY (NP)
NPI
1174057939
Phone
(409) 422-4801
Address
1105 N MAIN ST
Enumeration Date
18 April 2017
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098601888
Graduation Year
2016 (10 years ago)
PAC ID
5193092948
Group Practice PAC ID
5698816882
Professional Enrollment ID
I20170525002456
Address ID
TX777067272BE3195XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for LEANN HOLLOWAY (NP)

  • 1105 N MAIN ST

    VIDOR, TX 776623738

    Phone: (409) 422-4801

    Type: Location

  • South Meridian Avenue, Blanchard, McClain County, Oklahoma, United States

    OKLAHOMA CITY, OK 731191026

    Phone: (800) 962-3303

    Type: Location

  • Baptist Hospitals of Southeast Texas - Beaumont Campus, 3080, College Street, Beaumont, Jefferson County, Texas, 77701, United States

    BEAUMONT, TX 777014606

    Phone: (409) 212-5000

    Type: Mailing

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: 2017-05-25

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
I20170525002456INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg35134$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg32078$0
96372Injection of drug or substance under skin or into muscle144121$0
99213Established patient office or other outpatient visit, 20-29 minutes140118$0
99214Established patient office or other outpatient visit, 30-39 minutes123109$0
View full utilization report →

Insurance plans in this area (ZIP 77662)

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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: 5698816882View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TN
Physician AssistantOK
--
-TX

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Frequently asked questions

Can I cross-check LEANN HOLLOWAY (NP) using NPI 1174057939?
NPI 1174057939 belongs to LEANN HOLLOWAY (NP); compare other details if you need extra assurance.
Is LEANN HOLLOWAY (NP) shown as active in public data?
Registry records indicate LEANN HOLLOWAY (NP) maintains an active NPI.
What kind of doctor is LEANN HOLLOWAY (NP)?
LEANN HOLLOWAY (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LEANN HOLLOWAY (NP)?
Directory geography for LEANN HOLLOWAY (NP) centers on Vidor, Texas.
Can I trust this NPI listing for LEANN HOLLOWAY (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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