EDDIE LEE HOLLOWELL ACNP
NPI 1124875828
Nurse Practitioner - Adult Health in Buckeye, AZ
About Eddie Lee Hollowell Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDDIE LEE HOLLOWELL ACNP (NPI 1124875828) is an individual adult health provider in Buckeye, Arizona, licensed in Arizona (305274) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eddie Lee Hollowell Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eddie Hollowell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85020
- Reassigned Medicare billing, Arizona enrollment
- 8 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85326 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUCKEYE, AZ 85326
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 Eddie Hollowell's NPI number?
The NPI number for Eddie Hollowell is 1124875828. It was assigned to this individual provider in the NPPES registry on May 1, 2024.
Where is Eddie Hollowell located?
Eddie Hollowell practices at 26700 S Us Highway 85, Buckeye, AZ 85326. The listed phone number is (623) 386-6160.
What is Eddie Hollowell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Eddie Hollowell enrolled in Medicare?
Yes. Eddie Hollowell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eddie Hollowell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Hollowell reassigns Medicare benefits to Shirah Surgical PLLC (Phoenix, AZ). 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 Eddie Hollowell'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 Eddie Hollowell was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Eddie Lee Hollowell, ACNP · NPI 1124875828
Adult Health physician in Buckeye, Arizona. Individual provider, active in the CMS NPPES registry since May 1, 2024.
## Identity
- **NPI:** 1124875828 (Entity type: Individual)
- **Enumerated:** May 1, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 305274 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 26700 S US HIGHWAY 85, Buckeye, AZ 85326-5024
- **Phone:** (623) 386-6160
## 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:** Shirah Surgical PLLC (NPI 1275311870, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124875828) · Data from the CMS NPPES public registry.