DR. TOPAZ JERILYN HOLLOWAY AGPCNP
NPI 1194151993
Nurse Practitioner - Adult Health in Clio, MI

Active since September 25, 2013PECOS EnrolledAccepts Medicare Assignment
4154 W VIENNA RD, CLIO, MI 48420(810) 687-1008 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2023, Jan 8, 2021 (2 updates tracked since 2021).

About Dr. Topaz Jerilyn Holloway Agpcnp NPPES

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

DR. TOPAZ JERILYN HOLLOWAY AGPCNP (NPI 1194151993) is an individual adult health provider in Clio, Michigan, licensed in Michigan (4704257322) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1194151993
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. TOPAZ JERILYN HOLLOWAYCredential: AGPCNP
Location Address4154 W VIENNA RDClio, MI 48420-2809
Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (248) 266-4200 · Fax (855) 618-6655
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2013
Enumeration DateSeptember 25, 2013
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1194151993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MI · 4704257322
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704257322 (MI)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704257322 (MI)
4154 W VIENNA RD, Clio, MI 48420

Secondary Practice Location 1

Location 14444 W Bristol Rd Ste 150Flint, MI 48507-3161 · Phone (810) 230-9500 · Fax (810) 230-0169

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

Dr. Topaz Jerilyn Holloway Agpcnp 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 ID8628298932
PECOS Enrollment IDI20141009001102
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.

Areas of Expertise CMS Part B claims 11

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
545 services151 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
285 services112 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
75 services20 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
55 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
45 services38 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48420 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 13

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

Nurse Practitioner (Family)
4154 W VIENNA RD
CLIO, MI 48420
Nurse Practitioner (Adult Health)
4154 W VIENNA RD
CLIO, MI 48420
Family Medicine
4154 W VIENNA RD
CLIO, MI 48420
Nurse Practitioner (Family)
4154 W VIENNA RD
CLIO, MI 48420
Physician Assistant (Medical)
4154 W VIENNA RD
CLIO, MI 48420
Clinic/Center (Urgent Care)
4154 W VIENNA RD
CLIO, MI 48420
Family Medicine
4154 W VIENNA RD
CLIO, MI 48420
Family Medicine
4154 W VIENNA RD
CLIO, MI 48420

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 Topaz Holloway's NPI number?

The NPI number for Topaz Holloway is 1194151993. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Topaz Holloway located?

Topaz Holloway practices at 4154 W Vienna Rd, Clio, MI 48420. The listed phone number is (810) 687-1008.

What is Topaz Holloway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Topaz Holloway enrolled in Medicare?

Yes. Topaz Holloway 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.

Is Topaz Holloway affiliated with any hospitals?

According to CMS data, Topaz Holloway is affiliated with Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Topaz Holloway was last updated on December 6, 2023. 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.