HOLLY ON APRN-BC
NPI 1669153151
Nurse Practitioner - Gerontology in Trinity, FL

Q: What is Holly On's NPI number?

The NPI number for Holly On is 1669153151. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Q: What is Holly On's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Holly On was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 27, 2023PECOS EnrolledAccepts Medicare Assignment

9320 STATE ROAD 54, TRINITY, FL 34655(727) 842-8411(877) 917-2336 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2026, Jun 23, 2025, Nov 14, 2023 and 1 more (4 updates tracked since 2023).

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About Holly On Aprn-bc NPPES

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

HOLLY ON APRN-BC (NPI 1669153151) is an individual gerontology provider in Trinity, Florida, licensed in Florida (APRN11027620) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669153151

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameHOLLY ONCredential: APRN-BC

Location Address9320 STATE ROAD 54Trinity, FL 34655-1808

Mailing AddressPo Box 10222Atlanta, GA 30368-2222 · (239) 432-8500

Phone(727) 842-8411

Fax(877) 917-2336

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 27, 2023

Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1669153151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11027620

9320 STATE ROAD 54, Trinity, FL 34655

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Secondary Practice Locations 2

Location 1100 Highland Ave NLargo, FL 33770-2542 · Phone (727) 683-2900 · Fax (727) 683-2901

Location 27651 Medical DrHudson, FL 34667-6594 · Phone (727) 868-9208 · Fax (727) 868-6420

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida and more.Insurance ›

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 On Aprn-bc 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 ID1759731623

PECOS Enrollment IDI20231219002729

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

Florida Cancer Specialists & Research Institute, LLC

120 mi

Medical Oncology

1708 CAPE CORAL PKWY W, #10
Cape Coral, FL 33914

Reassigned Medicare billing, Florida enrollment
880 clinicians in this Medicare group

NPI 1760590962 (239) 541-4633

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 34655 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

RAMYA PINNAMANENI M.D.

Internal Medicine (Medical Oncology)