HOLLY GRACE DUDDY MS, RN, FNP-C
NPI 1922626068
Nurse Practitioner - Family in West Valley City, UT
About Holly Grace Duddy Ms, Rn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY GRACE DUDDY MS, RN, FNP-C (NPI 1922626068) is an individual family provider in West Valley City, Utah, licensed in Utah (12115763-4405) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Grace Duddy Ms, Rn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Duddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Utah enrollment
- 145 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 84120 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Duddy's NPI number?
The NPI number for Holly Duddy is 1922626068. It was assigned to this individual provider in the NPPES registry on July 6, 2020.
Where is Holly Duddy located?
Holly Duddy practices at 5557 W 4100 S, West Valley City, UT 84120. The listed phone number is (801) 966-1118.
What is Holly Duddy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holly Duddy enrolled in Medicare?
Yes. Holly Duddy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Duddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Duddy reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Duddy'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 Duddy was last updated on March 12, 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 Grace Duddy, MS, RN, FNP-C · NPI 1922626068
Family physician in West Valley City, Utah. Individual provider, active in the CMS NPPES registry since July 6, 2020.
## Identity
- **NPI:** 1922626068 (Entity type: Individual)
- **Enumerated:** July 6, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12115763-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5557 W 4100 S, West Valley City, UT 84120-4629
- **Phone:** (801) 966-1118
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health, LLC (NPI 1689158487, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922626068) · Data from the CMS NPPES public registry.