SHAY HOLLEY MD
NPI 1255392213
Emergency Medicine in Ogden, UT
About Shay Holley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAY HOLLEY MD (NPI 1255392213) is an individual emergency medicine provider in Ogden, Utah, licensed in Utah (275093-1205) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shay Holley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shay Holley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 316 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Shay Holley's NPI number?
The NPI number for Shay Holley is 1255392213. It was assigned to this individual provider in the NPPES registry on March 30, 2006.
Where is Shay Holley located?
Shay Holley practices at 5475 S 500 E, Ogden, UT 84405. The listed phone number is (801) 479-2111.
What is Shay Holley's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Shay Holley enrolled in Medicare?
Yes. Shay Holley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shay Holley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shay Holley reassigns Medicare benefits to Emergency Physicians Integrated Care, LLC (Salt Lake City, UT). 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 Shay Holley'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 Shay Holley was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Shay Holley, MD · NPI 1255392213
Emergency Medicine physician in Ogden, Utah. Individual provider, active in the CMS NPPES registry since March 30, 2006.
## Identity
- **NPI:** 1255392213 (Entity type: Individual)
- **Enumerated:** March 30, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 275093-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5475 S 500 E, Ogden, UT 84405-6905
- **Phone:** (801) 479-2111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Physicians Integrated Care, LLC (NPI 1578598199, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Other 930085279 (UT); Medicaid D0576 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1255392213) · Data from the CMS NPPES public registry.