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HOLLY PORTILLO NP
NPI 1063814101
Nurse Practitioner - Adult Health in Rosebud, TX

Active since September 19, 2014PECOS Enrolled
894 US HIGHWAY 77, ROSEBUD, TX 76570(254) 721-2563(254) 583-7829 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Holly Portillo Np NPPES

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

HOLLY PORTILLO NP (NPI 1063814101) is an individual adult health provider in Rosebud, Texas, licensed in Texas (AP126462) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063814101
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHOLLY PORTILLOCredential: NP
Location Address894 US HIGHWAY 77Rosebud, TX 76570
Mailing Address894 Us Highway 77Rosebud, TX 76570-3325 · (254) 721-2563 · Fax (254) 583-7829
Phone(254) 721-2563
Fax(254) 583-7829
Sole ProprietorYes
Enumeration DateSeptember 19, 2014
Last NPPES UpdateJanuary 17, 2019
✔ NPI 1063814101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP126462
894 US HIGHWAY 77, Rosebud, TX 76570
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Portillo 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Holly Portillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa Of Texas PLLC
67 mi
Family Medicine
7800 SHOAL CREEK BLVD STE 118W
Austin, TX 78757
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1457399065 (512) 407-8880
Signify Health Medical Associates, PLLC
127 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76570 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

STERLING HEALTH & WELLNESS
Nurse Practitioner
894 US HIGHWAY 77
ROSEBUD, TX 76570
Falls County (254) 721-2563

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 Portillo's NPI number?

The NPI number for Holly Portillo is 1063814101. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Holly Portillo located?

Holly Portillo practices at 894 Us Highway 77, Rosebud, TX 76570. The listed phone number is (254) 721-2563.

What is Holly Portillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Holly Portillo enrolled in Medicare?

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

Which organizations bill Medicare for Holly Portillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Portillo reassigns Medicare benefits to 2 organizations: Vpa Of Texas PLLC (Austin, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Holly Portillo'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 Holly Portillo was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.