KRISTY L HOLLAND (MD) – Emergency Medicine Physician, NPI 1255363420

KRISTY L HOLLAND (MD) is a healthcare provider. based in Fort worth, Texas. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 036-112397 (IL). The NPI Number for KRISTY L HOLLAND (MD) is 1255363420

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY L HOLLAND (MD)
NPI
1255363420
Phone
(817) 451-4208
Address
PO BOX 8882
Enumeration Date
7 July 2006
Last Update Date
29 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182575644
Graduation Year
2001 (25 years ago)
PAC ID
3173561891
Group Practice PAC ID
2769746056
Professional Enrollment ID
I20050421001379
Address ID
IL622265360BE4500XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for KRISTY L HOLLAND (MD)

  • Fort Worth Jack D. Watson Post Office, 4600, Mark IV Parkway, Fort Worth, Tarrant County, Texas, 76161, United States

    FORT WORTH, TX 761240882

    Phone: (817) 451-4208

    Type: Mailing

  • 211, South 3rd Street, Belleville, Saint Clair County, Illinois, 62220, United States

    BELLEVILLE, IL 622201915

    Phone: (618) 234-2120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($20).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

2

Earliest due date

2023-12-31

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
I20050421001379IInternal MedicineIL2023-12-31
I20180301001386IEmergency MedicineMOTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99285Emergency department visit with high level of medical decision making224212$0
99284Emergency department visit with moderate level of medical decision making6262$0
99291Critical care, first 30-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 76124)

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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: 2769746056View full group profile
NameSpecialtyState
Emergency MedicineMO
Emergency MedicineMO
Nurse PractitionerIL
Nurse PractitionerMO
Emergency MedicineIL
Emergency MedicineIL
Emergency Medicine, Internal MedicineMO
Emergency MedicineCT
Emergency MedicineIL
Emergency MedicineMO

Reviews

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Frequently asked questions

Is there an official ID for KRISTY L HOLLAND (MD) in U.S. healthcare records?
The official identifier for KRISTY L HOLLAND (MD) is NPI 1255363420.
Is KRISTY L HOLLAND (MD) still an active registrant?
KRISTY L HOLLAND (MD) carries an active NPI according to the public dataset.
How would a patient describe KRISTY L HOLLAND (MD)'s focus?
For KRISTY L HOLLAND (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KRISTY L HOLLAND (MD)?
Directory geography for KRISTY L HOLLAND (MD) centers on Fort Worth, Texas.
Can I trust this NPI listing for KRISTY L HOLLAND (MD)?
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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