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LORI HOLALY NP-C
NPI 1194337881
Nurse Practitioner - Family in Detroit, MI

Active since August 23, 2020PECOS EnrolledAccepts Medicare Assignment
22101 MOROSS RD STE 212, DETROIT, MI 48236(313) 343-4921(313) 343-7091 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Oct 3, 2022, Aug 23, 2020 (3 updates tracked since 2020).

About Lori Holaly Np-c NPPES

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

LORI HOLALY NP-C (NPI 1194337881) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704302239) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1194337881
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI HOLALYCredential: NP-C
Location Address22101 MOROSS RD STE 212Detroit, MI 48236-2148
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(313) 343-4921
Fax(313) 343-7091
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 23, 2020
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1194337881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704302239
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APN.0996958-NP (CO)
22101 MOROSS RD STE 212, Detroit, MI 48236
Open in Google Maps ↗

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 777-1234

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

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

Lori Holaly Np-c 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 ID4587030622
PECOS Enrollment IDI20240808001294
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.

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 2

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

KAELYN JEAN CHAMBLESS NP
Nurse Practitioner
22101 MOROSS RD STE 212
DETROIT, MI 48236
Wayne County (313) 343-4921
MS. RANDI NGUYEN NP
Nurse Practitioner (Family)
22101 MOROSS RD STE 212
DETROIT, MI 48236
Wayne County (313) 343-4921

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 Lori Holaly's NPI number?

The NPI number for Lori Holaly is 1194337881. It was assigned to this individual provider in the NPPES registry on August 23, 2020.

Where is Lori Holaly located?

Lori Holaly practices at 22101 Moross Rd Ste 212, Detroit, MI 48236. The listed phone number is (313) 343-4921.

What is Lori Holaly's specialty?

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

Is Lori Holaly enrolled in Medicare?

Yes. Lori Holaly 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.

What insurance does Lori Holaly accept?

Health plans from McLaren Health Plan Community and Priority Health list Lori Holaly 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 Lori Holaly affiliated with any hospitals?

According to CMS data, Lori Holaly is affiliated with Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Lori Holaly was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.