HOLLY C LIBERATORE MD
NPI 1811928625
Emergency Medicine in Longview, WA
About Holly C Liberatore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY C LIBERATORE MD (NPI 1811928625) is an individual emergency medicine provider in Longview, Washington, licensed in Washington (MD00042244) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Petal, and is a graduate of St. Louis College Of Physicians And Surgeons (2000).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
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 C Liberatore Md 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 Reassignment
Medicare enrollment records show Holly Liberatore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98686
- Reassigned Medicare billing, Washington and Oregon enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1093043424 (Oregon)
- 2,534 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LONGVIEW, WA 98632
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 Liberatore's NPI number?
The NPI number for Holly Liberatore is 1811928625. It was assigned to this individual provider in the NPPES registry on July 6, 2006. The provider is also known as Holly Mossman.
Where is Holly Liberatore located?
Holly Liberatore practices at 1615 Delaware St, Longview, WA 98632. The listed phone number is (360) 414-2000.
What is Holly Liberatore's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Holly Liberatore enrolled in Medicare?
Yes. Holly Liberatore 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 organization bills Medicare for Holly Liberatore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Liberatore reassigns Medicare benefits to Manor Care Of Salmon Creek Wa, Association (Vancouver, WA). The 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 Liberatore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Holly Liberatore was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Holly C Liberatore, MD · NPI 1811928625
Emergency Medicine physician in Longview, Washington. Individual provider, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1811928625 (Entity type: Individual)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD00042244 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1615 DELAWARE ST, Longview, WA 98632-2310
- **Phone:** (360) 414-2000
## 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:** Manor Care Of Salmon Creek Wa, Association (NPI 1609171081, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** St. Louis College Of Physicians And Surgeons, class of 2000
## Record status
- **NPPES last updated:** May 27, 2021
- **Other identifiers:** Medicaid 05483727 (MS); Medicaid 8351926 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1811928625) · Data from the CMS NPPES public registry.