MS. HOLLY LYNN BURT MSN, RN, PHN, FNP
NPI 1104229103
Nurse Practitioner - Family in Auburn, CA

Q: What is Holly Burt's NPI number?

The NPI number for Holly Burt is 1104229103. It was assigned to this individual provider in the NPPES registry on October 3, 2014. The provider is also known as Miss Holly Lynn Ottaviano And Reveles.

Q: What is Holly Burt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Holly Burt was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 03, 2014PECOS Enrolled

11815 EDUCATION ST, AUBURN, CA 95602(530) 888-4555 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Holly Lynn Burt Msn, Rn, Phn, Fnp NPPES

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

MS. HOLLY LYNN BURT MSN, RN, PHN, FNP (NPI 1104229103) is an individual family provider in Auburn, California, licensed in California (95000536) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104229103

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. HOLLY LYNN BURTCredential: MSN, RN, PHN, FNP

Location Address11815 EDUCATION STAuburn, CA 95602-2410

Mailing Address11815 Education StAuburn, CA 95602-2410 · (530) 888-4555

Phone(530) 888-4555

Sole ProprietorYes

Enumeration DateOctober 3, 2014

✔ NPI 1104229103 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 CA · 95000536

11815 EDUCATION ST, Auburn, CA 95602

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Other Names 1

Former Name (1)Miss Holly Lynn Ottaviano And Reveles

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Holly Lynn Burt Msn, Rn, Phn, Fnp 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 95602 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 20

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

MRS. DANA CIOBANU D.O

Internal Medicine