HOLLY ANNE ARNOLD PA-C
NPI 1083876148
Physician Assistant - Medical in Mc Kenzie, TN

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201(731) 352-7907(731) 352-4459 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2025, Jul 2, 2024 (2 updates tracked since 2024).

About Holly Anne Arnold Pa-c NPPES

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

HOLLY ANNE ARNOLD PA-C (NPI 1083876148) is an individual medical provider in Mc Kenzie, Tennessee, licensed in Tennessee (1622) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083876148
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHOLLY ANNE ARNOLDCredential: PA-C
Location Address205 HOSPITAL DR, SUITE AMc Kenzie, TN 38201-1649
Mailing Address205 Hospital Dr, Suite AMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (731) 352-4459
Fax(731) 352-4459
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1083876148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TN · 1622
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1622 (TN)
205 HOSPITAL DR, Mc Kenzie, TN 38201

Other Identifiers 4

Other3380640TN · Medicaid Group
Medicaid1506576TN
OtherPA1622TN · Professional License
Other3380640TN · Medicare Group

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

Holly Anne Arnold Pa-c 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 ID8527133990
PECOS Enrollment IDI20080819000824
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.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4409)

    1 DME suppliers used 11 Medicare Claims 110 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each (HCPCS:A4425)

    1 DME suppliers used 11 Medicare Claims 220 Services Paid

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Urology
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Dietitian, Registered
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Nurse Practitioner (Adult Health)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Pharmacist
205 HOSPITAL DR
MC KENZIE, TN 38201
Physician Assistant
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Pediatrics
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Clinic/Center (Sleep Disorder Diagnostic)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Clinic/Center (Radiology)
205 HOSPITAL DR, SUITE C
MC KENZIE, TN 38201
Physician Assistant
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Durable Medical Equipment & Medical Supplies
205 HOSPITAL DR
MC KENZIE, TN 38201
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Physician Assistant
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Orthopaedic Surgery
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Durable Medical Equipment & Medical Supplies
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Clinic/Center (Urgent Care)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Internal Medicine
205 HOSPITAL DR, STE A
MC KENZIE, TN 38201
Family Medicine
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083876148, enumerated as an "individual" on June 30, 2008.

The provider is located at 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 and the phone number is (731) 352-7907.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.