AMANDA LYNN HOLLOWAY
NPI 1447784848
Family Medicine in Payson, AZ

Q: What is Amanda Holloway's NPI number?

The NPI number for Amanda Holloway is 1447784848. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Q: What is Amanda Holloway's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Holloway was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 12, 2017PECOS Enrolled

126 E MAIN ST STE B, PAYSON, AZ 85541(928) 468-8610 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 22, 2021, May 6, 2020, Apr 12, 2017 (3 updates tracked since 2017).

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About Amanda Lynn Holloway NPPES

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

AMANDA LYNN HOLLOWAY (NPI 1447784848) is an individual family medicine provider in Payson, Arizona, licensed in Arizona (008289) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Manchester.

NPPES Registry Identity

NPI1447784848

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAMANDA LYNN HOLLOWAY

Location Address126 E MAIN ST STE BPayson, AZ 85541-5488

Mailing AddressPo Box 3630Flagstaff, AZ 86003-3630 · (928) 522-9879 · Fax (928) 522-9880

Phone(928) 468-8610

Sole ProprietorNo

Enumeration DateApril 12, 2017

Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1447784848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 008289

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 009528503 (LA)

126 E MAIN ST STE B, Payson, AZ 85541

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Secondary Practice Location 1

Location 1130 Hartford RdManchester, CT 06040-5921 · Phone (860) 533-4679

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Lynn Holloway 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 Reassignment

Medicare enrollment records show Amanda Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Solace Health Medical Group Inc

652 mi

Geriatric Medicine

401 WARREN ST STE 300
Redwood City, CA 94063

Reassigned Medicare billing, New Jersey enrollment
10 clinicians in this Medicare group

NPI 1801669924 (708) 320-1477

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 85541 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$19.50 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers12 claims12 services$16.79 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers30 claims30 services$46.37 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$106.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

NORTH COUNTRY HEALTHCARE INC

Family Medicine