Edris Y Holland, RN MSN FNP-C - Medicare Nurse Practitioner in Palmdale, CA

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Edris Y Holland, RN MSN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Palmdale, California. Her current practice location is 520 W Palmdale Blvd, Palmdale, California. You can reach out to her office (for appointments etc.) via phone at (661) 947-3300.

Edris Y Holland is licensed to practice in California (license number 95017058) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154929495.

Contact Information

Edris Y Holland, RN MSN FNP-C
520 W Palmdale Blvd,
Palmdale, CA 93551-4229
(661) 947-3300
(661) 947-3322

Map and Direction




Provider's Profile

Full NameEdris Y Holland
GenderFemale
SpecialityNurse Practitioner - Family
Location520 W Palmdale Blvd, Palmdale, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154929495
  • Provider Enumeration Date: 10/09/2020
  • Last Update Date: 04/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123381415
  • Enrollment ID: I20220923001602

Medical Identifiers

Medical identifiers for Edris Y Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154929495NPI-NPPES
95017058OtherCAFNP-C LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 374283 (California)Secondary
163WC1500XRegistered Nurse - Community Health 374283 (California)Secondary
363LF0000XNurse Practitioner - Family 95017058 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edris Y Holland allows following entities to bill medicare on her behalf.
Entity NamePalmdale Medical Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851849863
PECOS PAC ID: 2264703743
Enrollment ID: O20170801003124

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edris Y Holland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edris Y Holland, RN MSN FNP-C
41405 Sequoia Ave,
Palmdale, CA 93551-1912

Ph: (310) 672-4581		Edris Y Holland, RN MSN FNP-C
520 W Palmdale Blvd,
Palmdale, CA 93551-4229

Ph: (661) 947-3300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.