HOLLY R EITEL
NPI 1144191305
Nurse Practitioner - Family in Texarkana, TX

Active since September 12, 2025PECOS EnrolledAccepts Medicare Assignment
1400 COLLEGE DR, TEXARKANA, TX 75503(903) 791-1110 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2025, Sep 12, 2025 (2 updates tracked since 2025).

About Holly R Eitel NPPES

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

HOLLY R EITEL (NPI 1144191305) is an individual family provider in Texarkana, Texas, licensed in Texas (1215376) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144191305
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY R EITEL
Location Address1400 COLLEGE DRTexarkana, TX 75503-3536
Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782 · Fax (903) 927-1764
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 12, 2025
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1144191305 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 TX · 1215376
1400 COLLEGE DR, Texarkana, TX 75503

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly R Eitel 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 ID6305335647
PECOS Enrollment IDI20251028002320
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 Reassignment

Medicare enrollment records show Holly Eitel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1400 COLLEGE DR
Texarkana, TX 75503
  • Reassigned Medicare billing, Texas and Arkansas enrollments
  • Also billed through NPI 1093186249 (Arkansas)
  • 51 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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 20

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

Counselor (Mental Health)
1400 COLLEGE DR
TEXARKANA, TX 75503
Clinic/Center (Federally Qualified Health Center (FQHC))
1400 COLLEGE DR
TEXARKANA, TX 75503
Physician Assistant
1400 COLLEGE DR
TEXARKANA, TX 75503
Internal Medicine
1400 COLLEGE DR, STE 202
TEXARKANA, TX 75503
Case Manager/Care Coordinator
1400 COLLEGE DR
TEXARKANA, TX 75503
Clinic/Center (Federally Qualified Health Center (FQHC))
1400 COLLEGE DR
TEXARKANA, TX 75503
Counselor (Professional)
1400 COLLEGE DR
TEXARKANA, TX 75503
Clinic/Center (Federally Qualified Health Center (FQHC))
1400 COLLEGE DR
TEXARKANA, TX 75503

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 Eitel's NPI number?

The NPI number for Holly Eitel is 1144191305. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Holly Eitel located?

Holly Eitel practices at 1400 College Dr, Texarkana, TX 75503. The listed phone number is (903) 791-1110.

What is Holly Eitel's specialty?

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

Is Holly Eitel enrolled in Medicare?

Yes. Holly Eitel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Holly Eitel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Eitel reassigns Medicare benefits to East Texas Border Health Clinic (Texarkana, TX). 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 Eitel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Eitel accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Holly Eitel 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.

Is Holly Eitel affiliated with any hospitals?

According to CMS data, Holly Eitel is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Holly Eitel was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.