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HOLLY VANDERHYDE NP
NPI 1033773379
Nurse Practitioner in Moreno Valley, CA

Active since April 23, 2019PECOS Enrolled
12364 PERRIS BLVD, MORENO VALLEY, CA 92557(605) 209-6421 Get Directions Write a Review

NPPES record last updated: September 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2021, Apr 23, 2019 (2 updates tracked since 2019).

About Holly Vanderhyde Np NPPES

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

HOLLY VANDERHYDE NP (NPI 1033773379) is an individual nurse practitioner in Moreno Valley, California, licensed in California (95011532) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Yucca Valley.

NPPES Registry Identity

NPI1033773379
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHOLLY VANDERHYDECredential: NP
Location Address12364 PERRIS BLVDMoreno Valley, CA 92557-7423
Mailing AddressPo Box 1593Yucca Valley, CA 92286-1593 · (442) 269-1027
Phone(605) 209-6421
Sole ProprietorYes
Enumeration DateApril 23, 2019
Last NPPES UpdateSeptember 25, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2021
✔ NPI 1033773379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95011532
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12364 PERRIS BLVD, Moreno Valley, CA 92557
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Secondary Practice Location 1

Location 158471 Twenty Nine Palms Hwy, Ste 103Yucca Valley, CA 92284 · Phone (760) 895-1525 · Fax (760) 832-6124

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Vanderhyde Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92557 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DESTINY HOSPICE CARE, INC
Hospice Care, Community Based
12364 PERRIS BLVD
MORENO VALLEY, CA 92557
Riverside County (951) 242-4288
FOLLEY FELIX IGBINOSUN NURSE PRACTITIONER
Nurse Practitioner
12364 PERRIS BLVD
MORENO VALLEY, CA 92557
Riverside County (951) 243-8871

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 Holly Vanderhyde's NPI number?

The NPI number for Holly Vanderhyde is 1033773379. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Holly Vanderhyde located?

Holly Vanderhyde practices at 12364 Perris Blvd, Moreno Valley, CA 92557. The listed phone number is (605) 209-6421.

What is Holly Vanderhyde's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Holly Vanderhyde enrolled in Medicare?

Yes. Holly Vanderhyde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Vanderhyde was last updated on September 25, 2021. 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.