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CARISSA HOLLAND NP-C
NPI 1457077760
Nurse Practitioner - Primary Care in Shafter, CA

Active since October 18, 2022PECOS EnrolledAccepts Medicare Assignment
565 KERN ST, SHAFTER, CA 93263(661) 746-4937 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Oct 18, 2022 (2 updates tracked since 2022).

About Carissa Holland Np-c NPPES

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

CARISSA HOLLAND NP-C (NPI 1457077760) is an individual primary care provider in Shafter, California, licensed in California (95030370) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457077760
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCARISSA HOLLANDCredential: NP-C
Location Address565 KERN STShafter, CA 93263-2133
Mailing Address565 Kern StShafter, CA 93263-2133 · (661) 746-4937
Phone(661) 746-4937
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2022
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1457077760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95030370
565 KERN ST, Shafter, CA 93263
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carissa Holland Np-c 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.

PECOS PAC ID4486187234
PECOS Enrollment IDI20241031002486
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93263 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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 9

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

JAE J. KIM, M.D.
Clinic/Center (Primary Care)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
MR. JOHNNY VILLANUEVA AGUSTIN NP
Nurse Practitioner
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
DR. CHAN H. PARK M.D.
Family Medicine
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
VANGUARD MEDICAL CORPORATION
Clinic/Center (Rural Health)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
MIRIAM LILIANA VIELMAN
Nurse Practitioner
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
JAE JOON KIM MD
Family Medicine
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
MRS. MONICA RODRIGUEZ APRN NP-C, PHN, RN
Nurse Practitioner (Family)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 746-4937
KIMBERLY GONZALEZ NP-C
Nurse Practitioner (Primary Care)
565 KERN ST
SHAFTER, CA 93263
Kern County (661) 459-1000

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 Carissa Holland's NPI number?

The NPI number for Carissa Holland is 1457077760. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Carissa Holland located?

Carissa Holland practices at 565 Kern St, Shafter, CA 93263. The listed phone number is (661) 746-4937.

What is Carissa Holland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Carissa Holland enrolled in Medicare?

Yes. Carissa Holland 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.

When was this NPI record last updated?

The NPPES record for Carissa Holland was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.