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HOLLY PAGE APRN
NPI 1205724762
Nurse Practitioner - Gerontology in Fort Pierce, FL

Active since June 25, 2025PECOS EnrolledAccepts Medicare Assignment
1215 S 25TH ST, FORT PIERCE, FL 34947(772) 468-5925(772) 466-6588 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2026, Jun 25, 2025 (2 updates tracked since 2025).

About Holly Page Aprn NPPES

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

HOLLY PAGE APRN (NPI 1205724762) is an individual gerontology provider in Fort Pierce, Florida, licensed in Florida (APRN11041477) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205724762
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameHOLLY PAGECredential: APRN
Location Address1215 S 25TH STFort Pierce, FL 34947-4702
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(772) 468-5925
Fax(772) 466-6588
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 25, 2025
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1205724762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11041477
1215 S 25TH ST, Fort Pierce, FL 34947
Open in Google Maps ↗

Other Identifiers 1

OtherAG06250120FL · Florida Board Of Nursing

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 Page Aprn 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 ID9537664222
PECOS Enrollment IDI20250924001679
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 Reassignments

2

Medicare enrollment records show Holly Page reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Conviva Medical Center Management LLC
114 mi
Internal Medicine
6101 BLUE LAGOON DR STE 200
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 535 clinicians in this Medicare group
NPI 1649324278 (305) 500-2000
Florida Cancer Specialists & Research Institute, LLC
119 mi
Medical Oncology
1708 CAPE CORAL PKWY W, #10
Cape Coral, FL 33914
  • Reassigned Medicare billing, Florida enrollment
  • 880 clinicians in this Medicare group
NPI 1760590962 (239) 541-4633

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 34947 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 7

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

DIANE L PUGH DO
Family Medicine
1215 S 25TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 468-5925
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Internal Medicine
1215 S 25TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 837-6918
MARIA E TORRES MD PA
Internal Medicine
1215 S 25TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 468-5925
MARIA E TORRES MD
Internal Medicine
1215 S 25TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 468-5925
DR. JOELY AYES-GONZALEZ GNP-C
Nurse Practitioner (Gerontology)
1215 S 25TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 468-5925
DR. SANDEEP BACHUBHAI SURA MD
Internal Medicine
1215 S 25TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 468-5925
MRS. ELIZABETH RAUCH APRN
Nurse Practitioner (Adult Health)
1215 S 25TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 468-5925

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 Page's NPI number?

The NPI number for Holly Page is 1205724762. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Where is Holly Page located?

Holly Page practices at 1215 S 25th St, Fort Pierce, FL 34947. The listed phone number is (772) 468-5925.

What is Holly Page's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Holly Page enrolled in Medicare?

Yes. Holly Page 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 organizations bill Medicare for Holly Page's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Page reassigns Medicare benefits to 2 organizations: Conviva Medical Center Management LLC (Miami, FL) and Florida Cancer Specialists & Research Institute, LLC (Cape Coral, FL). Each 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 Page'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 Holly Page was last updated on February 25, 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.