JACOB C. HOLLOWAY (APRN-CNP) – Nurse Practitioner, NPI 1851751630
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for JACOB C. HOLLOWAY (APRN-CNP)
1040 W Jefferson St
Brownsville, TX 785206338
Phone: (956) 350-2844
Fax: (956) 350-0999
Type: Location
6147 State Route 122
Middletown, OH 450055201
Phone: (513) 261-3410
Type: Location
3535 Southern Blvd
Kettering, OH 454291221
Phone: (937) 395-8166
Type: Location
100 Kettering Way
Franklin, OH 450051155
Phone: (937) 458-4700
Type: Location
3535 Pentagon Blvd
Beavercreek, OH 454311705
Phone: (937) 702-4500
Type: Location
4000 Miamisburg Centerville Rd
Miamisburg, OH 453427615
Phone: (937) 384-8791
Type: Location
410 W 10th Ave
Columbus, OH 432101240
Phone: (614) 293-8000
Fax: (614) 293-3124
Type: Location
600 W Main St
Troy, OH 453733384
Phone: (937) 980-7010
Type: Location
1141 N Monroe Dr
Xenia, OH 453851619
Phone: (937) 352-2500
Type: Location
1 Kettering Way
Piqua, OH 453564146
Phone: (937) 916-2625
Type: Location
1430 COLUMBUS AVE
WASHINGTON COURT HOUSE, OH 431601703
Phone: (740) 335-1210
Type: Mailing
West Alton Gloor Boulevard, Brownsville, Texas, 78520, United States
SUITE 3
BROWNSVILLE, TX 785204054
Phone: (956) 350-2844
Fax: (956) 350-0999
Type: Mailing
Valley Baptist Medical Center — Brownsville, 1040, West Jefferson Street, Brownsville, Texas, 78520, United States
BROWNSVILLE, TX 785206338
Phone: (956) 350-2844
Fax: (956) 350-0999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-02-22 • Largest payer in this snapshot: PFIZER INC. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $26 |
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: 2022-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220325001998 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 44 | 39 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 31 | 29 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 27 | 27 | $0 |
| 99291 | Critical care, first 30-74 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 78520)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | MI | |
| Emergency Medicine | OH | |
| Internal Medicine | WV | |
| Family Practice | TN | |
| Emergency Medicine, Family Practice | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH |
Reviews
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