HOLLY RIVERS NP
NPI 1336516533
Nurse Practitioner - Pediatrics in Shreveport, LA
About Holly Rivers Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY RIVERS NP (NPI 1336516533) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (AP08449) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Rivers Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Rivers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shreveport, LA 71105
- Reassigned Medicare billing, Louisiana enrollment
- 45 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71118 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
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 Rivers's NPI number?
The NPI number for Holly Rivers is 1336516533. It was assigned to this individual provider in the NPPES registry on August 24, 2015.
Where is Holly Rivers located?
Holly Rivers practices at 2520 Bert Kouns Industrial Loop Suite 105, Shreveport, LA 71118. The listed phone number is (318) 212-5520.
What is Holly Rivers's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Holly Rivers enrolled in Medicare?
Yes. Holly Rivers is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Rivers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Rivers reassigns Medicare benefits to Wk Urgent Care Center-Pierremont (Shreveport, LA). 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 Holly Rivers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Rivers accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and UnitedHealthcare list Holly Rivers 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 Rivers was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Holly Rivers, NP · NPI 1336516533
Pediatrics physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since August 24, 2015.
## Identity
- **NPI:** 1336516533 (Entity type: Individual)
- **Enumerated:** August 24, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP08449 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2520 BERT KOUNS INDUSTRIAL LOOP, SUITE 105, Shreveport, LA 71118-3130
- **Phone:** (318) 212-5520 · **Fax:** (318) 212-5540
## 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:** Wk Urgent Care Center-Pierremont (NPI 1639115132, Shreveport, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1336516533) · Data from the CMS NPPES public registry.