HOLLY LORRAINE LEO NP
NPI 1467663666
Nurse Practitioner - Family in Tustin, CA
About Holly Lorraine Leo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY LORRAINE LEO NP (NPI 1467663666) is an individual family provider in Tustin, California, licensed in California (415786) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
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
Holly Lorraine Leo Np 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 Holly Leo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 1,699 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 7
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 92780 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.
TUSTIN, CA 92780
TUSTIN, CA 92780
TUSTIN, CA 92780
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 Holly Leo's NPI number?
The NPI number for Holly Leo is 1467663666. It was assigned to this individual provider in the NPPES registry on May 28, 2007.
Where is Holly Leo located?
Holly Leo practices at 14642 Newport Ave Suite 200, Tustin, CA 92780. The listed phone number is (714) 669-4466.
What is Holly Leo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holly Leo enrolled in Medicare?
Yes. Holly Leo 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 Holly Leo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Leo reassigns Medicare benefits to 2 organizations: (Tustin, CA) and Providence Medical Foundation (Orange, CA). 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 Holly Leo'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 Holly Leo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Holly Lorraine Leo, NP · NPI 1467663666
Family physician in Tustin, California. Individual provider, active in the CMS NPPES registry since May 28, 2007.
## Identity
- **NPI:** 1467663666 (Entity type: Individual)
- **Enumerated:** May 28, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 415786 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 14642 NEWPORT AVE, SUITE 200, Tustin, CA 92780-6057
- **Phone:** (714) 669-4466
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): (NPI 1245250695, Tustin, CA); Providence Medical Foundation (NPI 1801443510, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1467663666) · Data from the CMS NPPES public registry.