HOLLAND R ARCHAMBAULT FNP
NPI 1235826371
Nurse Practitioner - Family in Tucson, AZ

Q: What is Holland Archambault's NPI number?

The NPI number for Holland Archambault is 1235826371. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Q: What is Holland Archambault's specialty?

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

Active since April 19, 2023PECOS EnrolledAccepts Medicare Assignment

1505 N SWAN RD STE 121, TUCSON, AZ 85712(520) 795-3090(520) 795-3537 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 31, 2025, Feb 6, 2025 (2 updates tracked since 2025).

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About Holland R Archambault Fnp NPPES

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

HOLLAND R ARCHAMBAULT FNP (NPI 1235826371) is an individual family provider in Tucson, Arizona, licensed in Arizona (318582) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235826371

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHOLLAND R ARCHAMBAULTCredential: FNP

Location Address1505 N SWAN RD STE 121Tucson, AZ 85712-4044

Mailing Address1505 N Swan Rd Ste 121Tucson, AZ 85712-4044 · (520) 795-3090 · Fax (520) 795-3537

Phone(520) 795-3090

Fax(520) 795-3537

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 19, 2023

Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration

NPPES CertifiedDecember 31, 2025

✔ NPI 1235826371 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 AZ · 318582

1505 N SWAN RD STE 121, Tucson, AZ 85712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Cigna HealthCare of Arizona, Inc.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

Holland R Archambault Fnp 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 ID4082136031

PECOS Enrollment IDI20250905000349

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

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

Swan Gastroenterology, P.C.

Same address

Gastroenterology

1505 N SWAN RD, 121
Tucson, AZ 85712

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Swan Gastroenterology PC
15 clinicians in this Medicare group

NPI 1619368891 (520) 795-3090

University Of Utah Adult Services

577 mi

Orthopaedic Surgery

9385 S SNOWBIRD CENTER DR
Sandy, UT 84092

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1851904247 (801) 587-7109

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.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

BASSEL KISSO MD

Internal Medicine (Gastroenterology)