Cynthia Lynn Hollis-keene, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Walnut Grove, Missouri. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kitsap Mental Health Services and her current practice location is
10520 W Farm Road 60, Walnut Grove, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 268-7952.
Cynthia Lynn Hollis-keene is licensed to practice in Missouri (license number 2015003170) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396067906.
Provider's Profile
| Full Name | Cynthia Lynn Hollis-keene |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 10520 W Farm Road 60, Walnut Grove, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cynthia Lynn Hollis-keene attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2013
NPI Data:
- NPI Number: 1396067906
- Provider Enumeration Date: 02/23/2010
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587858212
- Enrollment ID: I20250304000215
Medical Identifiers
Medical identifiers for Cynthia Lynn Hollis-keene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396067906 | NPI | - | NPPES |
| 1396067906 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 154542 (Missouri) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2015003170 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kitsap Mental Health Services | 2961391875 | 9 |
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. Cynthia Lynn Hollis-keene allows following entities to bill medicare on her behalf.
| Entity Name | Kitsap Mental Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033268008
PECOS PAC ID: 2961391875
Enrollment ID: O20040310001343 |
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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. Cynthia Lynn Hollis-keene 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 Address | Practice Location Address |
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Cynthia Lynn Hollis-keene, PMHNP
10520 W Farm Road 60,
Walnut Grove, MO 65770-2825
Ph: (417) 268-7952 | Cynthia Lynn Hollis-keene, PMHNP
10520 W Farm Road 60,
Walnut Grove, MO 65770-2825
Ph: (417) 268-7952 |
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