MR. SETH RAY HOLLAND (PA-C) – Physician Assistant, NPI 1215994082
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MR. SETH RAY HOLLAND (PA-C)
600 Elizabeth St
Corpus Christi, TX 784042235
Phone: (361) 881-3000
Fax: (361) 881-3149
Type: Location
11050 Mount Belvedere Blvd
USA MEDDAC ATTN: Credentials
Fort Drum, NY 136025438
Phone: (315) 772-4025
Fax: (315) 772-9498
Type: Location
CHRISTUS Spohn Hospital Corpus Christi - Shoreline, 600, Elizabeth Street, Corpus Christi, Nueces County, Texas, 78404, United States
CORPUS CHRISTI, TX 784042235
Phone: (361) 881-3000
Fax: (361) 881-3149
Type: Location
11937 US HIGHWAY 271
TYLER, TX 757083154
Phone: (903) 877-7200
Type: Mailing
Mount Belvedere Boulevard, Fort Drum, Jefferson County, New York, 13603, United States
USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 136025438
Phone: (315) 772-4025
Fax: (315) 772-9498
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: 2019-08-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190820001893 | I | Physician Assistant | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Emergency Medicine, Family Practice | TX |
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