MR. NATHAN DOUGLAS HOLLIDAY MS, FNP-BC
NPI 1407464936
Nurse Practitioner - Family in Wilmette, IL

Q: What is Nathan Holliday's NPI number?

The NPI number for Nathan Holliday is 1407464936. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Q: What is Nathan Holliday's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Holliday was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 21, 2020PECOS Enrolled

93.08/100

CMS Quality Rating

3131 LAKE AVE UNIT C, WILMETTE, IL 60091(224) 529-1928 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. Nathan Douglas Holliday Ms, Fnp-bc NPPES

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

MR. NATHAN DOUGLAS HOLLIDAY MS, FNP-BC (NPI 1407464936) is an individual family provider in Wilmette, Illinois, licensed in Illinois (209.021663) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407464936

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. NATHAN DOUGLAS HOLLIDAYCredential: MS, FNP-BC

Location Address3131 LAKE AVE UNIT CWilmette, IL 60091-1115

Mailing Address3131 Lake Ave Unit CWilmette, IL 60091-1115 · (224) 529-1928

Phone(224) 529-1928

Sole ProprietorNo

Enumeration DateJuly 21, 2020

NPPES CertifiedJuly 21, 2020

✔ NPI 1407464936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.021663

3131 LAKE AVE UNIT C, Wilmette, IL 60091

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nathan Douglas Holliday Ms, Fnp-bc 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

Medicare enrollment records show Nathan Holliday reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group

3.7 mi

Allergy & Immunology

1000 CENTRAL ST
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment
4,841 clinicians in this Medicare group

NPI 1497701882 (847) 570-5235

Wellbe Senior Medical Illinois PC

25 mi

Internal Medicine

550 WARRENVILLE RD STE 300
Lisle, IL 60532

Reassigned Medicare billing, Illinois enrollment
37 clinicians in this Medicare group

NPI 1306499363 (855) 490-5434

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.

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60091 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

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 Nathan Holliday's NPI number?

The NPI number for Nathan Holliday is 1407464936. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Nathan Holliday located?

Nathan Holliday practices at 3131 Lake Ave Unit C, Wilmette, IL 60091. The listed phone number is (224) 529-1928.

What is Nathan Holliday's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nathan Holliday enrolled in Medicare?

Yes. Nathan Holliday is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nathan Holliday's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Holliday reassigns Medicare benefits to 2 organizations: Endeavor Health Medical Group (Evanston, IL) and Wellbe Senior Medical Illinois PC (Lisle, IL). 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 Nathan Holliday's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Holliday was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.