Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TRACIE MICHELE DEJARNETTE-HOLLY MD
NPI 1699786681
Psychiatry & Neurology - Psychiatry in Sugar Land, TX

Q: What is Tracie Dejarnette-holly's NPI number?

The NPI number for Tracie Dejarnette-holly is 1699786681. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Tracie Dejarnette-holly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since August 11, 2006PECOS Enrolled

1235 LAKE POINTE PKWY STE 104, SUGAR LAND, TX 77478(844) 824-8775 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, May 1, 2026, Aug 24, 2022 (3 updates tracked since 2022).

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About Dr. Tracie Michele Dejarnette-holly Md NPPES

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

DR. TRACIE MICHELE DEJARNETTE-HOLLY MD (NPI 1699786681) is an individual psychiatry provider in Sugar Land, Texas, licensed in Texas (K9516) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Meharry Medical College School Of Medicine (1991).

NPPES Registry Identity

NPI1699786681

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. TRACIE MICHELE DEJARNETTE-HOLLYCredential: MD

Location Address1235 LAKE POINTE PKWY STE 104Sugar Land, TX 77478-4077

Mailing Address1235 Lake Pointe Pkwy Ste 104Sugar Land, TX 77478-4077 · (844) 824-8775

Phone(844) 824-8775

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 1991

Enumeration DateAugust 11, 2006

Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1699786681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TX · K9516

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License K9516 (TX)

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License K9516 (TX)

1235 LAKE POINTE PKWY STE 104, Sugar Land, TX 77478

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Secondary Practice Locations 2

Location 122001 Southwest Fwy Ste 125Richmond, TX 77469-7002 · Phone (832) 219-3898

Location 299 Almaden Blvd Ste 600San Jose, CA 95113-1605 · Phone (256) 500-8688

Other Identifiers 1

Medicaid029799603TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Tracie Michele Dejarnette-holly Md 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 ID5890790109

PECOS Enrollment IDI20080227000401

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 77478 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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 19

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

NANCY JANE MALWITZ LPC

Counselor (Professional)