RANDI MOORE HOLLIS FNP
NPI 1346642121
Nurse Practitioner - Psychiatric/Mental Health in Salt Lake City, UT
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, maintains a secondary practice location in West Valley City, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Randi Moore Hollis Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Randi Hollis reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 22 clinicians in this Medicare group
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Murray, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 136 clinicians in this Medicare group
Salt Lake City, UT 84119
- Reassigned Medicare billing, Utah enrollment
- 111 clinicians in this Medicare group
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 202 clinicians in this Medicare group
South Jordan, UT 84095
- Reassigned Medicare billing, Utah enrollment
- 254 clinicians in this Medicare group
Park City, UT 84098
- Reassigned Medicare billing, Utah enrollment
- 26 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 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.
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.
SALT LAKE CITY, UT 84124
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.
Which organizations bill Medicare for Randi Hollis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randi Hollis reassigns Medicare benefits to 7 organizations: Lotus Center Inc (Salt Lake City, UT), University Of Utah Behavioral Health Services (Salt Lake City, UT), Catholic Health Initiatives Colorado (Murray, UT), University Of Utah Pediatric Behavioral Health Services (Salt Lake City, UT), University Of Utah Pediatric Acuity Care (Salt Lake City, UT) and 2 more organizations, listed in the Medicare section above. 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 Randi Hollis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Randi Moore Hollis, FNP · NPI 1346642121
Psychiatric/Mental Health physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since September 23, 2014.
## Identity
- **NPI:** 1346642121 (Entity type: Individual)
- **Enumerated:** September 23, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 5038133-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1220 E 3900 S STE 1F, Salt Lake City, UT 84124-1327
- **Phone:** (801) 262-5711
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Lotus Center Inc (NPI 1992167118, Salt Lake City, UT); University Of Utah Behavioral Health Services (NPI 1376947051, Salt Lake City, UT); Catholic Health Initiatives Colorado (NPI 1548962897, Murray, UT); University Of Utah Pediatric Behavioral Health Services (NPI 1821450735, Salt Lake City, UT); University Of Utah Pediatric Acuity Care (NPI 1558723445, Salt Lake City, UT); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1346642121) · Data from the CMS NPPES public registry.