HOLLY SUE CROSS CNS
NPI 1811292212
Clinical Nurse Specialist - Adult Health in Austin, TX

Active since January 14, 2011PECOS EnrolledAccepts Medicare Assignment
64.77/100
CMS Quality Rating
1601 TRINITY ST, AUSTIN, TX 78712(833) 882-2737 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Sue Cross Cns NPPES

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

HOLLY SUE CROSS CNS (NPI 1811292212) is an individual adult health provider in Austin, Texas, licensed in Texas (760883) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1811292212
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameHOLLY SUE CROSSCredential: CNS
Location Address1601 TRINITY STAustin, TX 78712-1765
Mailing Address1601 Trinity StAustin, TX 78712-1765 · (833) 882-2737
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 14, 2011
Last NPPES UpdateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
NPI 1811292212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License Licensed in TX · 760883
1601 TRINITY ST, Austin, TX 78712

Other Names 1

Former Name (1)Holly Cross Fess

Other Identifiers 1

Medicaid302803801TX

Accepted 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

Holly Sue Cross Cns 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 ID9032395322
PECOS Enrollment IDI20110523000191
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
98 services63 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
23 services22 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.
22 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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.

64.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.58
Promoting Interoperability64
Improvement Activities40
Cost32

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%104 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%117 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
5%135 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%135 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
21%135 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
53%135 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Psychiatry & Neurology (Psychiatry)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Rheumatology)
1601 TRINITY ST
AUSTIN, TX 78712
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712
Physician Assistant (Medical)
1601 TRINITY ST, SUITE 704
AUSTIN, TX 78712
Social Worker (Clinical)
1601 TRINITY ST
AUSTIN, TX 78712
Internal Medicine (Medical Oncology)
1601 TRINITY ST
AUSTIN, TX 78712

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 Cross's NPI number?

The NPI number for Holly Cross is 1811292212. It was assigned to this individual provider in the NPPES registry on January 14, 2011. The provider is also known as Holly Cross Fess.

Where is Holly Cross located?

Holly Cross practices at 1601 Trinity St, Austin, TX 78712. The listed phone number is (833) 882-2737.

What is Holly Cross's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Holly Cross enrolled in Medicare?

Yes. Holly Cross 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 Holly Cross accept?

Health plans from Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Holly Cross 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 Cross was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.