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MRS. JENOA LYNN HOLMES P.A.-C
NPI 1710021134
Physician Assistant in Victorville, CA

Active since February 18, 2007PECOS Enrolled
12332 HESPERIA RD STE A, VICTORVILLE, CA 92395(760) 243-4009(760) 243-3255 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jenoa Lynn Holmes P.a.-c NPPES

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

MRS. JENOA LYNN HOLMES P.A.-C (NPI 1710021134) is an individual physician assistant in Victorville, California, licensed in California (PA15196) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710021134
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JENOA LYNN HOLMESCredential: P.A.-C
Location Address12332 HESPERIA RD STE AVictorville, CA 92395-4796
Mailing Address12539 Dulce StVictorville, CA 92392-8369 · (760) 949-1892
Phone(760) 243-4009
Fax(760) 243-3255
Sole ProprietorNo
Enumeration DateFebruary 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710021134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA15196
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12332 HESPERIA RD STE A, Victorville, CA 92395
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jenoa Lynn Holmes P.a.-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Jenoa Holmes's NPI number?

The NPI number for Jenoa Holmes is 1710021134. It was assigned to this individual provider in the NPPES registry on February 18, 2007.

Where is Jenoa Holmes located?

Jenoa Holmes practices at 12332 Hesperia Rd Ste A, Victorville, CA 92395. The listed phone number is (760) 243-4009.

What is Jenoa Holmes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jenoa Holmes enrolled in Medicare?

Yes. Jenoa Holmes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenoa Holmes 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.