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DR. JONATHAN HOLLOWAY DNP
NPI 1760089841
Nurse Practitioner in Moscow, ID

Active since October 02, 2020PECOS EnrolledAccepts Medicare Assignment
803 S MAIN ST STE 210, MOSCOW, ID 83843(509) 228-1000(509) 252-9300 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2023, Oct 2, 2020 (2 updates tracked since 2020).

About Dr. Jonathan Holloway Dnp NPPES

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

DR. JONATHAN HOLLOWAY DNP (NPI 1760089841) is an individual nurse practitioner in Moscow, Idaho, licensed in Idaho (74509) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760089841
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. JONATHAN HOLLOWAYCredential: DNP
Location Address803 S MAIN ST STE 210Moscow, ID 83843-2695
Mailing AddressPo Box 500409Saipan, MP 96950-0409
Phone(509) 228-1000
Fax(509) 252-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 2, 2020
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1760089841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in ID · 74509✔ Licensed in HI · APRN-4900
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License R190104 (MP), RN208920 (AZ)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 248356 (AZ)
803 S MAIN ST STE 210, Moscow, ID 83843
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Jonathan Holloway Dnp 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 ID6709296882
PECOS Enrollment IDI20250226000548
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
446 services186 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83843 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 3

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

GRITMAN MEDICAL CENTER INC
Psychiatry & Neurology (Psychiatry)
803 S MAIN ST STE 210
MOSCOW, ID 83843
Latah County (208) 883-6774
PALOUSE SPECIALTY PHYSICIANS, P.S.
Internal Medicine (Hematology & Oncology)
803 S MAIN ST STE 210
MOSCOW, ID 83843
Latah County (208) 882-1778
RAJEEV RAJENDRA M.D.
Internal Medicine (Hematology & Oncology)
803 S MAIN ST STE 210
MOSCOW, ID 83843
Latah County (208) 882-1778

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 Jonathan Holloway's NPI number?

The NPI number for Jonathan Holloway is 1760089841. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Where is Jonathan Holloway located?

Jonathan Holloway practices at 803 S Main St Ste 210, Moscow, ID 83843. The listed phone number is (509) 228-1000.

What is Jonathan Holloway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jonathan Holloway enrolled in Medicare?

Yes. Jonathan Holloway 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.

What insurance does Jonathan Holloway accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jonathan Holloway 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 Jonathan Holloway affiliated with any hospitals?

According to CMS data, Jonathan Holloway is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Holloway was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.