LEONORA HOLLEY
NPI 1053710319
Nurse Practitioner - Adult Health in New York, NY
About Leonora Holley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEONORA HOLLEY (NPI 1053710319) is an individual adult health provider in New York, New York, licensed in New York (F306990-1) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Leonora Holley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Leonora Holley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syosset, NY 11791
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Nassau Medical Home Visits PC
- 19 clinicians in this Medicare group
Massapequa, NY 11758
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Fulton Medical PC
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Leonora Holley's NPI number?
The NPI number for Leonora Holley is 1053710319. It was assigned to this individual provider in the NPPES registry on August 22, 2014.
Where is Leonora Holley located?
Leonora Holley practices at 1 Penn Plaza 8th Floor, New York, NY 10119. The listed phone number is (212) 216-6436.
What is Leonora Holley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Leonora Holley enrolled in Medicare?
Yes. Leonora Holley is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Leonora Holley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leonora Holley reassigns Medicare benefits to 2 organizations: Nassau Medical Home Visits P.C. (Syosset, NY) and Fulton Medical, P.C. (Massapequa, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leonora Holley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Leonora Holley was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Leonora Holley · NPI 1053710319
Adult Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 22, 2014.
## Identity
- **NPI:** 1053710319 (Entity type: Individual)
- **Enumerated:** August 22, 2014
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F306990-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 PENN PLAZA 8TH FLOOR, New York, NY 10119-0002
- **Phone:** (212) 216-6436
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nassau Medical Home Visits P.C. (NPI 1104270198, Syosset, NY); Fulton Medical, P.C. (NPI 1841635133, Massapequa, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1053710319) · Data from the CMS NPPES public registry.