MRS. HOLLY HULLETT ROY (PA-C) – Physician Assistant, NPI 1972874394

MRS. HOLLY HULLETT ROY (PA-C) is a healthcare provider. based in Woodlawn, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110003769 (VA). The NPI Number for MRS. HOLLY HULLETT ROY (PA-C) is 1972874394

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HOLLY HULLETT ROY (PA-C)
NPI
1972874394
Phone
(276) 238-8876
Address
5261 CARROLLTON PIKE
Enumeration Date
17 January 2012
Last Update Date
29 December 2025

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
6507028982
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20221217000154
Address ID
IL600268001GL2600XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for MRS. HOLLY HULLETT ROY (PA-C)

  • 5261 CARROLLTON PIKE

    SUITE B

    WOODLAWN, VA 243813030

    Phone: (276) 238-8876

    Fax: (276) 238-8886

    Type: Location

  • 14807 MONETA RD STE J

    MONETA, VA 241216449

    Phone: (540) 703-2682

    Fax: (540) 698-1030

    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 $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-03-09 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($52).

Total Amount

$52

General + Research + Ownership

Payments

1

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-09

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: 2022-12-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120501000395IPhysician AssistantVATBD
I20221217000154IPhysician AssistantNCTBD

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.

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes993165$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes885176$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes354119$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes263108$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit150150$0
View full utilization report →

Insurance plans in this area (ZIP 24381)

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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: 9032020490View full group profile

Reviews

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Frequently asked questions

What is the registry number for MRS. HOLLY HULLETT ROY (PA-C)?
The registry entry for MRS. HOLLY HULLETT ROY (PA-C) shows NPI 1972874394.
Does the public listing show MRS. HOLLY HULLETT ROY (PA-C) as active?
MRS. HOLLY HULLETT ROY (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does MRS. HOLLY HULLETT ROY (PA-C) provide?
MRS. HOLLY HULLETT ROY (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. HOLLY HULLETT ROY (PA-C)?
The directory associates MRS. HOLLY HULLETT ROY (PA-C) with Woodlawn, Virginia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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