TARA ASHLEY HOLLEY (FNP) – Family Nurse Practitioner, NPI 1013630797
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TARA ASHLEY HOLLEY (FNP)
PO BOX 627
BIG PINEY, WY 831130627
Phone: (303) 907-9574
Type: Mailing
480 S CACHE ST
JACKSON, WY 830018222
Phone: (307) 201-1489
Type: Location
PO BOX 508
SHADY COVE, OR 975390508
Phone:
Type: Mailing
21990 HIGHWAY 62
SHADY COVE, OR 975399717
Phone: (541) 878-2022
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $675.
Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ITI, Inc. ($151).
Total Amount
$675
General + Research + Ownership
Payments
17
Total payment records
General Amount
$675
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $151 |
| ABBVIE INC. | $145 |
| Amgen Inc. | $121 |
| Astellas Pharma US Inc | $75 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $42 |
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: 2023-07-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221130003177 | I | Nurse Practitioner | WY | TBD |
| I20230710000939 | I | Nurse Practitioner | OR | 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 | 70 | 50 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 21 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 14 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 15 | 12 | $0 |
Insurance plans in this area (ZIP 83113)
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