MATTHEW CHRISTIAN HOLMES (PA-C) – Physician Assistant, NPI 1104052398
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MATTHEW CHRISTIAN HOLMES (PA-C)
1350 Marvin Rd NE Ste D
Lacey, WA 985163877
Phone: (888) 227-3312
Fax: (360) 413-6509
Type: Location
700 LILLY RD NE
OLYMPIA, WA 985065196
Phone: (800) 565-1393
Fax: (360) 923-7089
Type: Mailing
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 984318775
Phone: (360) 915-3929
Type: Location
700 Lilly Rd NE
Olympia, WA 985065115
Phone: (360) 923-7000
Fax: (360) 923-7089
Type: Location
14939, Terra View Street Southeast, Tahoma Meadow, Tahoma Terra, Yelm, Thurston County, Washington, 98597, United States
YELM, WA 985978775
Phone: (360) 915-3929
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-05-17
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 |
|---|---|---|---|---|
| I20240517002336 | I | Physician Assistant | WA | 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 98516)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | OR | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| - | MT |
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