KATRINA JACKSON HOLLEY (PA) – Physician Assistant, NPI 1427594381
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for KATRINA JACKSON HOLLEY (PA)
1604 Hospital Pkwy Ste 501
Bedford, TX 760226932
Phone: (817) 684-2700
Fax: (817) 684-2709
Type: Location
1000 FLOWER MOUND RD
FLOWER MOUND, TX 750283401
Phone: (972) 434-1988
Type: Location
Hospital Parkway, Bedford, Tarrant County, Texas, 76022-5841, United States
BEDFORD, TX 760226932
Phone: (817) 684-2700
Fax: (817) 684-2709
Type: Mailing
1400 HOSPITAL PKWY STE 100
BEDFORD, TX 760226928
Phone: (817) 684-2700
Fax: (817) 684-2709
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $697.
Total Amount is formed as General ($697) + Research ($0) + Ownership ($0) = $697.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($144).
Total Amount
$697
General + Research + Ownership
Payments
19
Total payment records
General Amount
$697
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-02-16
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 |
|---|---|---|---|---|
| I20170216002830 | 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.
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 | 108 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 73 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 76022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Vascular Surgery | PA | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Family Practice | TX |
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