HOLLY ELIZABETH CUNNINGHAM
NPI 1720747355
Nurse Practitioner - Family in Park City, UT
About Holly Elizabeth Cunningham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY ELIZABETH CUNNINGHAM (NPI 1720747355) is an individual family provider in Park City, Utah, licensed in Utah (13077780-4405) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Park City Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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 Elizabeth Cunningham 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.
Medicare Billing Reassignments
2Medicare enrollment records show Holly Cunningham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Park City, UT 84060
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Del City, OK 73115
- Reassigned Medicare billing, Oklahoma enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park City Hospital
Acute Care Hospitals · Park City, UTHeber Valley Hospital
Critical Access Hospitals · Heber City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARK CITY, UT 84060
PARK CITY, UT 84060
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 Cunningham's NPI number?
The NPI number for Holly Cunningham is 1720747355. It was assigned to this individual provider in the NPPES registry on December 10, 2021.
Where is Holly Cunningham located?
Holly Cunningham practices at 900 Round Valley Dr Ste 200, Park City, UT 84060. The listed phone number is (435) 658-7400.
What is Holly Cunningham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holly Cunningham enrolled in Medicare?
Yes. Holly Cunningham 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.
Which organizations bill Medicare for Holly Cunningham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Cunningham reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Park City, UT) and Oklahoma Pain Institute PLLC (Del City, OK). Each 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 Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Cunningham accept?
Health plans from Mending Health, Molina Healthcare, Select Health and University of Utah Health Plans list Holly Cunningham 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 Cunningham affiliated with any hospitals?
According to CMS data, Holly Cunningham is affiliated with Park City Hospital and Heber Valley Hospital.
When was this NPI record last updated?
The NPPES record for Holly Cunningham was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Holly Elizabeth Cunningham · NPI 1720747355
Family physician in Park City, Utah. Individual provider, active in the CMS NPPES registry since December 10, 2021.
## Identity
- **NPI:** 1720747355 (Entity type: Individual)
- **Enumerated:** December 10, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 13077780-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 ROUND VALLEY DR STE 200, Park City, UT 84060-7552
- **Phone:** (435) 658-7400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1174396204, Park City, UT); Oklahoma Pain Institute PLLC (NPI 1013353440, Del City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720747355) · Data from the CMS NPPES public registry.