HOLLY D DAVIS (APRN) – Gerontology Nurse Practitioner, NPI 1073006045
Gerontology Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
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Provider Addresses for HOLLY D DAVIS (APRN)
911, South Washington Street, Tri-Cities, Benton County, Washington, 99336, United States
KENNEWICK, WA 993365600
Phone: (509) 942-2288
Fax: (509) 942-2147
Type: Location
14813 N Del Webb Blvd
Sun City, AZ 853512145
Phone: (602) 834-5435
Fax: (888) 830-1610
Type: Location
4254 W ORCHID LN
CHANDLER, AZ 852267246
Phone: (888) 731-8994
Type: Mailing
450 Alaskan Way S Ste 200
Seattle, WA 981042785
Phone: (888) 731-8994
Type: Location
1 Gateway Ctr Ste 2600
Newark, NJ 071025323
Phone: (888) 731-8994
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone:
Type: Mailing
119 S MAIN ST
SAINT CHARLES, MO 633012802
Phone: (314) 609-3435
Type: Mailing
5311 LIMESTONE RD
WILMINGTON, DE 198081246
Phone: (302) 295-0473
Fax: (888) 346-8981
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 $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2023-07-20 • Largest payer in this snapshot: Acella Pharmaceuticals, LLC ($56).
Total Amount
$56
General + Research + Ownership
Payments
1
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acella Pharmaceuticals, LLC | $56 |
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: 2025-03-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 16 Medicare enrollment records; no due dates published yet.
Enrollment records
16
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 |
|---|---|---|---|---|
| I20181005001262 | I | Nurse Practitioner | WA | TBD |
| I20201229002986 | I | Nurse Practitioner | OR | TBD |
| I20240410000646 | I | Nurse Practitioner | DE | TBD |
| I20240830003064 | I | Nurse Practitioner | MI | TBD |
| I20240830003394 | I | Nurse Practitioner | MO | TBD |
| I20240911000151 | I | Nurse Practitioner | CT | TBD |
| I20240920002316 | I | Nurse Practitioner | IN | TBD |
| I20241218001534 | I | Nurse Practitioner | NJ | TBD |
| I20241223002430 | I | Nurse Practitioner | KY | TBD |
| I20250114003043 | I | Nurse Practitioner | ND | TBD |
| I20250123002375 | I | Nurse Practitioner | OH | TBD |
| I20250128003817 | I | Nurse Practitioner | FL | TBD |
| I20250130001520 | I | Nurse Practitioner | TN | TBD |
| I20250131003632 | I | Nurse Practitioner | OK | TBD |
| I20250225000175 | I | Nurse Practitioner | PA | TBD |
| I20250325002441 | I | Nurse Practitioner | AZ | 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 99336)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | TN | |
| - | AZ | |
| General Surgery, Vascular Surgery | AZ | |
| Orthopedic Surgery, Hand Surgery | AZ | |
| Physician Assistant | WA | |
| Physician Assistant | AZ | |
| Internal Medicine | AZ | |
| Internal Medicine | AZ | |
| - | AZ | |
| Physical Therapist In Private Practice | AZ |
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