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HOLLY LYNN PACENTA M.D.
NPI 1306102777
Pediatrics - Pediatric Hematology-Oncology in Fort Worth, TX

Active since April 10, 2012PECOS Enrolled
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-4007 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2021, Oct 21, 2020, Jan 3, 2019 (3 updates tracked since 2019).

About Holly Lynn Pacenta M.d. NPPES

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

HOLLY LYNN PACENTA M.D. (NPI 1306102777) is an individual pediatric hematology-oncology provider in Fort Worth, Texas, licensed in Texas (R8541) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306102777
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameHOLLY LYNN PACENTACredential: M.D.
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 885-4007
Sole ProprietorNo
Enumeration DateApril 10, 2012
Last NPPES UpdateApril 9, 20213 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1306102777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TX · R8541
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License R8451 (TX)
1500 COOPER ST, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Lynn Pacenta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Pacenta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook Children's Physician Network
Same address
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483
University Of Texas Southwestern Medical Center At Dallas
0.9 mi
Ophthalmology
600 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1225082050 (817) 882-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299

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 Pacenta's NPI number?

The NPI number for Holly Pacenta is 1306102777. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Holly Pacenta located?

Holly Pacenta practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-4007.

What is Holly Pacenta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Holly Pacenta enrolled in Medicare?

Yes. Holly Pacenta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Holly Pacenta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Pacenta reassigns Medicare benefits to 2 organizations: Cook Children's Physician Network (Fort Worth, TX) and University Of Texas Southwestern Medical Center At Dallas (Fort Worth, TX). 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 Pacenta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Pacenta accept?

Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Holly Pacenta 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.

When was this NPI record last updated?

The NPPES record for Holly Pacenta was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.