KELLEY D HOLLAND PA
NPI 1023787074
Physician Assistant - Medical in Lake City, FL

Active since September 12, 2021PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
340 NW COMMERCE DR, LAKE CITY, FL 32055(386) 719-9000 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Sep 12, 2021 (2 updates tracked since 2021).

About Kelley D Holland Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY D HOLLAND PA (NPI 1023787074) is an individual medical provider in Lake City, Florida, licensed in Florida (PAT9114916) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1023787074
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLEY D HOLLANDCredential: PA
Location Address340 NW COMMERCE DRLake City, FL 32055-4709
Mailing Address4240 Liron Ave Apt 103Fort Myers, FL 33916-7868 · (302) 419-6173
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 12, 2021
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1023787074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PAT9114916
340 NW COMMERCE DR, Lake City, FL 32055

Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 265-5555

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelley D Holland Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012306228
PECOS Enrollment IDI20211109002764
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
63 services62 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
340 NW COMMERCE DR
LAKE CITY, FL 32055
Nurse Practitioner (Acute Care)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Internal Medicine
340 NW COMMERCE DR
LAKE CITY, FL 32055
Anesthesiology
340 NW COMMERCE DR
LAKE CITY, FL 32055
Respiratory Therapist, Registered (General Care)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Anesthesiology
340 NW COMMERCE DR
LAKE CITY, FL 32055
Nurse Practitioner (Family)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Family Medicine
340 NW COMMERCE DR
LAKE CITY, FL 32055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Holland's NPI number?

The NPI number for Kelley Holland is 1023787074. It was assigned to this individual provider in the NPPES registry on September 12, 2021.

Where is Kelley Holland located?

Kelley Holland practices at 340 NW Commerce Dr, Lake City, FL 32055. The listed phone number is (386) 719-9000.

What is Kelley Holland's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelley Holland enrolled in Medicare?

Yes. Kelley Holland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelley Holland accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Kelley Holland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelley Holland affiliated with any hospitals?

According to CMS data, Kelley Holland is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Kelley Holland was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.