HOLLY HOLLEMBEAK NURSE PRACTITIONER
NPI 1063071496
Nurse Practitioner - Family in Byers, CO

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment
404 E FRONT ST, BYERS, CO 80103(303) 822-5100(303) 822-5106 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Oct 25, 2019, Jun 10, 2019 (3 updates tracked since 2019).

About Holly Hollembeak Nurse Practitioner NPPES

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

HOLLY HOLLEMBEAK NURSE PRACTITIONER (NPI 1063071496) is an individual family provider in Byers, Colorado, licensed in Colorado (0994689) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hugo, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063071496
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY HOLLEMBEAKCredential: NURSE PRACTITIONER
Location Address404 E FRONT STByers, CO 80103-9727
Mailing AddressPo Box 248Hugo, CO 80821-0248 · (719) 743-2421 · Fax (719) 743-2355
Fax(303) 822-5106
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 10, 2019
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1063071496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CO · 0994689
404 E FRONT ST, Byers, CO 80103

Secondary Practice Location 1

Location 1111 6th StHugo, CO 80821-2002 · Phone (719) 743-2155

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

Holly Hollembeak Nurse Practitioner 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 ID8729317045
PECOS Enrollment IDI20190912000959
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services50 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80103 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 3

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

Surgery
404 E FRONT ST
BYERS, CO 80103
Clinic/Center (Rural Health)
404 E FRONT ST
BYERS, CO 80103
Family Medicine
404 E FRONT ST
BYERS, CO 80103

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 Hollembeak's NPI number?

The NPI number for Holly Hollembeak is 1063071496. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Holly Hollembeak located?

Holly Hollembeak practices at 404 E Front St, Byers, CO 80103. The listed phone number is (303) 822-5100.

What is Holly Hollembeak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Holly Hollembeak enrolled in Medicare?

Yes. Holly Hollembeak 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.

When was this NPI record last updated?

The NPPES record for Holly Hollembeak was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.