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HOLLY NOELLE ANDERSON PA-C
NPI 1770020232
Physician Assistant in Jacksonville, FL

Active since January 23, 2017PECOS Enrolled
71.66/100
CMS Quality Rating
3627 UNIVERSITY BLVD S, SUITE 615, JACKSONVILLE, FL 32216(904) 399-1623(904) 399-1624 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2018, Jan 23, 2017 (2 updates tracked since 2017).

About Holly Noelle Anderson Pa-c NPPES

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

HOLLY NOELLE ANDERSON PA-C (NPI 1770020232) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9109997) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770020232
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY NOELLE ANDERSONCredential: PA-C
Location Address3627 UNIVERSITY BLVD S, SUITE 615Jacksonville, FL 32216-4230
Mailing Address3627 University Blvd S, Ste 615Jacksonville, FL 32216-7401 · (843) 655-6748
Phone(904) 399-1623
Fax(904) 399-1624
Sole ProprietorYes
Enumeration DateJanuary 23, 2017
Last NPPES UpdateSeptember 13, 20182 updates tracked since enumeration
✔ NPI 1770020232 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 FL · PA9109997
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.
3627 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health 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 (PECOS)

Holly Noelle Anderson Pa-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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,059 services446 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
889 services452 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

AMY LEE DEICHERT MS-SP-CCC
Speech-Language Pathologist
3627 UNIVERSITY BLVD S, SUITE 210
JACKSONVILLE, FL 32216
Duval County (904) 399-5311
FLORIDA WOMAN CARE LLC
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S, SUITE 340
JACKSONVILLE, FL 32216
Duval County (904) 398-1202
MRS. LUCILE RITA CUENOT ARNP
Nurse Practitioner
3627 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 396-0300
DR. EUGENE RAWSON GRIFFIN III MD
Family Medicine (Geriatric Medicine)
3627 UNIVERSITY BLVD S, STE 615
JACKSONVILLE, FL 32216
Duval County (904) 399-1623
YERGIN PULMONARY CLINIC PA
Internal Medicine (Pulmonary Disease)
3627 UNIVERSITY BLVD S, SUITE 300
JACKSONVILLE, FL 32216
Duval County (904) 396-0300
DR. MARWAN M SHAYKH MD
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S, SUITE 450
JACKSONVILLE, FL 32216
Duval County (904) 398-1473
DANIEL C MCDYER MD
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S, STE 340
JACKSONVILLE, FL 32216
Duval County (904) 396-3518
DR. BHARAT K MISRA MD
Internal Medicine (Gastroenterology)
3627 UNIVERSITY BLVD S, SUITE 705
JACKSONVILLE, FL 32216
Duval County (904) 398-6718

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 Anderson's NPI number?

The NPI number for Holly Anderson is 1770020232. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Holly Anderson located?

Holly Anderson practices at 3627 University Blvd S Suite 615, Jacksonville, FL 32216. The listed phone number is (904) 399-1623.

What is Holly Anderson's specialty?

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

Is Holly Anderson enrolled in Medicare?

Yes. Holly Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Holly Anderson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Providence Health Plan and UnitedHealthcare list Holly Anderson 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.

When was this NPI record last updated?

The NPPES record for Holly Anderson was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.