RAVEN JEANINE HOLLAND (MD) – Family Medicine Physician, NPI 1184061665
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
Provider Addresses for RAVEN JEANINE HOLLAND (MD)
5701 BRYANT IRVIN RD STE 201
FORT WORTH, TX 761324026
Phone: (817) 263-2500
Fax: (817) 346-4006
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 9 Open Payments records for all available years, with a total value of $241.
Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($106).
Total Amount
$241
General + Research + Ownership
Payments
9
Total payment records
General Amount
$241
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $106 |
| Novo Nordisk Inc | $33 |
| PFIZER INC. | $31 |
| Exact Sciences Corporation | $23 |
| Lilly USA, LLC | $21 |
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: 2024-04-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20161018002888 | I | Family Practice | TX | TBD |
| I20240430001783 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 85 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 75 | 55 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 58 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 41 | $0 |
| G0008 | Administration of influenza virus vaccine | 11 | 11 | $0 |
Insurance plans in this area (ZIP 76132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IL | |
| Internal Medicine, Geriatric Medicine | IL | |
| - | IL | |
| Clinical Psychologist | IL |
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