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CHRISTINA HOLLIST
NPI 1831715309
Social Worker in Ammon, ID

Active since June 22, 2020PECOS Enrolled
2705 E 17TH ST, AMMON, ID 83406(208) 346-7500 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2023, Jun 22, 2020 (2 updates tracked since 2020).

About Christina Hollist NPPES

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

CHRISTINA HOLLIST (NPI 1831715309) is an individual social worker in Ammon, Idaho, licensed in Idaho (LMSW-40033) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831715309
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCHRISTINA HOLLIST
Location Address2705 E 17TH STAmmon, ID 83406-6601
Mailing Address449 N 2500 ESaint Anthony, ID 83445-5740
Phone(208) 346-7500
Sole ProprietorNo
Enumeration DateJune 22, 2020
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1831715309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LMSW-40033
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedBehavior TechnicianTaxonomy 106S00000X
2705 E 17TH ST, Ammon, ID 83406
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina Hollist 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.

Medicare Billing Reassignment

Medicare enrollment records show Christina Hollist reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pearl Health Clinic
Same address
Mental Health
2705 E 17TH ST
Ammon, ID 83406
  • Reassigned Medicare billing, Idaho enrollment
  • 45 clinicians in this Medicare group
NPI 1447426465 (208) 346-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SUMMER MANGELSON
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
JAYDE BARNES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
JODI LYNN DENNETT
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
SARAH CLARK
Peer Specialist
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
SIU LING CHI
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
MRS. STEVIE N CLAXTON LMSW
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
DANIELA UGARTE RODRIGUEZ
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
COLIN WATERS
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500

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 Christina Hollist's NPI number?

The NPI number for Christina Hollist is 1831715309. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Christina Hollist located?

Christina Hollist practices at 2705 E 17th St, Ammon, ID 83406. The listed phone number is (208) 346-7500.

What is Christina Hollist's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Christina Hollist enrolled in Medicare?

Yes. Christina Hollist is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christina Hollist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christina Hollist reassigns Medicare benefits to Pearl Health Clinic (Ammon, ID). 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 Christina Hollist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christina Hollist accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Christina Hollist 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 Christina Hollist was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.