MRS. HOLLY M ENDO FNP-BC
NPI 1114428026
Nurse Practitioner - Family in Cleveland, TN
About Mrs. Holly M Endo Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. HOLLY M ENDO FNP-BC (NPI 1114428026) is an individual family provider in Cleveland, Tennessee, licensed in Tennessee (23920) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Holly M Endo Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Endo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, TN 37312
- Reassigned Medicare billing, Tennessee enrollment
- 6 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
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 37312 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 2
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, TN 37312
CLEVELAND, TN 37312
CLEVELAND, TN 37312
CLEVELAND, TN 37312
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 Endo's NPI number?
The NPI number for Holly Endo is 1114428026. It was assigned to this individual provider in the NPPES registry on February 26, 2018.
Where is Holly Endo located?
Holly Endo practices at 1060 Peerless Xing NW Ste 101, Cleveland, TN 37312. The listed phone number is (423) 339-3340.
What is Holly Endo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holly Endo enrolled in Medicare?
Yes. Holly Endo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Endo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Endo reassigns Medicare benefits to Tennessee Kidney Care PLLC (Cleveland, TN). The 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 Endo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Endo accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Holly Endo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holly Endo was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Mrs. Holly M Endo, FNP-BC · NPI 1114428026
Family physician in Cleveland, Tennessee. Individual provider, active in the CMS NPPES registry since February 26, 2018.
## Identity
- **NPI:** 1114428026 (Entity type: Individual)
- **Enumerated:** February 26, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23920 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1060 PEERLESS XING NW STE 101, Cleveland, TN 37312-3785
- **Phone:** (423) 339-3340 · **Fax:** (423) 339-9927
## 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:** Tennessee Kidney Care PLLC (NPI 1073963716, Cleveland, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114428026) · Data from the CMS NPPES public registry.