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RANDI MOORE HOLLIS FNP
NPI 1346642121
Nurse Practitioner - Psychiatric/Mental Health in Salt Lake City, UT

Active since September 23, 2014PECOS Enrolled
1220 E 3900 S STE 1F, SALT LAKE CITY, UT 84124(801) 262-5711 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2023, Nov 4, 2021 (2 updates tracked since 2021).

About Randi Moore Hollis Fnp NPPES

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

RANDI MOORE HOLLIS FNP (NPI 1346642121) is an individual psychiatric/mental health provider in Salt Lake City, Utah, licensed in Utah (5038133-4405) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346642121
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRANDI MOORE HOLLISCredential: FNP
Location Address1220 E 3900 S STE 1FSalt Lake City, UT 84124-1327
Mailing Address1220 E 3900 S Ste 1fSalt Lake City, UT 84124-1327 · (801) 262-5711
Phone(801) 262-5711
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 23, 2014
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1346642121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 5038133-4405
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5038133-4405 (UT)
1220 E 3900 S STE 1F, Salt Lake City, UT 84124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randi Moore Hollis Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769707256
PECOS Enrollment IDI20150204000008
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 2

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

MATTHEW WAYNE JARVIS DNP
Nurse Practitioner
1220 E 3900 S STE 1F
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-5711
MR. RYAN DENNIS CHURCH FNP-C
Nurse Practitioner (Family)
1220 E 3900 S STE 1F
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-5711

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 Randi Hollis's NPI number?

The NPI number for Randi Hollis is 1346642121. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Randi Hollis located?

Randi Hollis practices at 1220 E 3900 S Ste 1F, Salt Lake City, UT 84124. The listed phone number is (801) 262-5711.

What is Randi Hollis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Randi Hollis enrolled in Medicare?

Yes. Randi Hollis is registered in the Medicare PECOS enrollment system.

What insurance does Randi Hollis accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Randi Hollis 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 Randi Hollis was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.