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HOLLY MATTHEWS
NPI 1619721958
Nurse Practitioner - Family in Tremonton, UT

Active since April 15, 2024PECOS Enrolled
57 N 775 E, TREMONTON, UT 84337(435) 915-6262(435) 201-8200 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Holly Matthews NPPES

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

HOLLY MATTHEWS (NPI 1619721958) is an individual family provider in Tremonton, Utah, licensed in Utah (10372796-4405) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619721958
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY MATTHEWS
Location Address57 N 775 ETremonton, UT 84337-4103
Mailing Address280 S Main StBountiful, UT 84010-6236 · (801) 505-0821 · Fax (801) 505-0803
Phone(435) 915-6262
Fax(435) 201-8200
Sole ProprietorYes
Enumeration DateApril 15, 2024
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1619721958 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 UT · 10372796-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 13072796-3102 (UT)
57 N 775 E, Tremonton, UT 84337
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Matthews 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 Holly Matthews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Miller Medical Inc
5.5 mi
Family Medicine
57 N 775 E
Tremonton, UT 84337
  • Reassigned Medicare billing, Utah enrollment
  • 5 clinicians in this Medicare group
NPI 1871240580 (435) 915-6262

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 84337 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 4

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

JESSICA MCCULLOCH FNP-C
Nurse Practitioner (Family)
57 N 775 E
TREMONTON, UT 84337
Box Elder County (435) 915-6262
DR. TODD MILLER M.D.
Family Medicine
57 N 775 E
TREMONTON, UT 84337
Box Elder County (435) 915-6262
MILLER MEDICAL INC
Family Medicine
57 N 775 E
TREMONTON, UT 84337
Box Elder County (435) 915-6262
JESSICA MARIE MUHLESTEIN FNP
Nurse Practitioner (Family)
57 N 775 E
TREMONTON, UT 84337
Box Elder County (435) 915-6262

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 Matthews's NPI number?

The NPI number for Holly Matthews is 1619721958. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Holly Matthews located?

Holly Matthews practices at 57 N 775 E, Tremonton, UT 84337. The listed phone number is (435) 915-6262.

What is Holly Matthews's specialty?

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

Is Holly Matthews enrolled in Medicare?

Yes. Holly Matthews is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holly Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Matthews reassigns Medicare benefits to Miller Medical Inc (Tremonton, UT). The 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 Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Matthews accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Holly Matthews 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.

When was this NPI record last updated?

The NPPES record for Holly Matthews was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.