MR. NICHOLAS HOLLOWAY CRNA
NPI 1366822058
Nurse Anesthetist, Certified Registered in Pine Bluff, AR
About Mr. Nicholas Holloway Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NICHOLAS HOLLOWAY CRNA (NPI 1366822058) is an individual nurse anesthetist, certified registered in Pine Bluff, Arkansas, licensed in Arkansas (C003090) and active in the NPI registry since June 2015. He is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Nicholas Holloway Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Nicholas Holloway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 35 clinicians in this Medicare group
Fayetteville, AR 72703
- Reassigned Medicare billing, Arkansas enrollment
- 185 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 71603 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.
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
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 Nicholas Holloway's NPI number?
The NPI number for Nicholas Holloway is 1366822058. It was assigned to this individual provider in the NPPES registry on June 8, 2015.
Where is Nicholas Holloway located?
Nicholas Holloway practices at 1801 W 40th Ave Suite 2B, Pine Bluff, AR 71603. The listed phone number is (870) 535-7457.
What is Nicholas Holloway's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Nicholas Holloway enrolled in Medicare?
Yes. Nicholas Holloway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicholas Holloway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Holloway reassigns Medicare benefits to 2 organizations: Jefferson Regional Anesthesia LLC (Pine Bluff, AR) and Premier Anesthesia Of Arkansas Professional Corporation (Fayetteville, AR). 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 Nicholas Holloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Holloway accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Nicholas Holloway 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 Nicholas Holloway was last updated on September 30, 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.
# Mr. Nicholas Holloway, CRNA · NPI 1366822058
Nurse Anesthetist, Certified Registered physician in Pine Bluff, Arkansas. Individual provider, active in the CMS NPPES registry since June 8, 2015.
## Identity
- **NPI:** 1366822058 (Entity type: Individual)
- **Enumerated:** June 8, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** C003090 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1801 W 40TH AVE, SUITE 2B, Pine Bluff, AR 71603-6940
- **Phone:** (870) 535-7457 · **Fax:** (870) 535-2522
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jefferson Regional Anesthesia LLC (NPI 1205301587, Pine Bluff, AR); Premier Anesthesia Of Arkansas Professional Corporation (NPI 1932519485, Fayetteville, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 30, 2015
- **Other identifiers:** Medicare PIN 417074YZV1 (AR); Other P01502904 (AR); Other 5AR79 (AR); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366822058) · Data from the CMS NPPES public registry.