HOLLY ANNE BURNAM
NPI 1487201091
Nurse Practitioner - Family in South Lake Tahoe, CA

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment
93.73/100
CMS Quality Rating
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 541-3420 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2020, Aug 20, 2019 (2 updates tracked since 2019).

About Holly Anne Burnam NPPES

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

HOLLY ANNE BURNAM (NPI 1487201091) is an individual family provider in South Lake Tahoe, California, licensed in California (95012441) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Carson Tahoe Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487201091
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY ANNE BURNAM
Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150-7008
Mailing Address2170 South AveSouth Lake Tahoe, CA 96150-7026 · (530) 543-5497
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 20, 2019
Last NPPES UpdateSeptember 8, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
NPI 1487201091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95012441
Also ListedRegistered NurseTaxonomy 163W00000X · License 766953 (CA)
2170 SOUTH AVE, South Lake Tahoe, CA 96150

Accepted Insurance

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

Holly Anne Burnam 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 ID9537594973
PECOS Enrollment IDI20200114000498, I20220617002520
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.

Areas of Expertise CMS Part B claims 5

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.
478 services309 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
326 services214 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
140 services124 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290019
Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County
Emergency services Birthing friendly

Carson Valley Health

Critical Access Hospitals · Gardnerville, NV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number291306
Location1107 Highway 395Gardnerville, NV 89410 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96150 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $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.

93.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier12 claims12 services$83.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier11 claims31 services$33.88 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier16 claims16 services$13.56 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier15 claims86 services$2.16 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier14 claims16 services$73.89 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$23.49 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 20

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

General Acute Care Hospital
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Nurse Practitioner (Family)
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Pathology (Cytopathology)
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Anesthesiology
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Orthopaedic Surgery
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Internal Medicine
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150

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 Burnam's NPI number?

The NPI number for Holly Burnam is 1487201091. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Holly Burnam located?

Holly Burnam practices at 2170 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-3420.

What is Holly Burnam's specialty?

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

Is Holly Burnam enrolled in Medicare?

Yes. Holly Burnam 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.

What insurance does Holly Burnam accept?

Health plans from Ambetter from Arizona Complete Health list Holly Burnam 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.

Is Holly Burnam affiliated with any hospitals?

According to CMS data, Holly Burnam is affiliated with Carson Tahoe Regional Medical Center and Carson Valley Health.

When was this NPI record last updated?

The NPPES record for Holly Burnam was last updated on September 8, 2020. 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.