Holly Elizabeth Cunningham, - Medicare Nurse Practitioner in Park City, UT

Holly Elizabeth Cunningham, is a medicare enrolled "Nurse Practitioner - Family" in Park City, Utah. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oklahoma Pain Institute Pllc, Southwest Spine And Pain Care Specialists Llc and her current practice location is 900 Round Valley Dr Ste 200, Park City, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 658-7400.

Holly Elizabeth Cunningham is licensed to practice in Utah (license number 13077780-4405) 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 1720747355.

Contact Information

Holly Elizabeth Cunningham,
900 Round Valley Dr Ste 200,
Park City, UT 84060-7552
(435) 658-7400
Not Available

Map and Direction




Provider's Profile

Full NameHolly Elizabeth Cunningham
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location900 Round Valley Dr Ste 200, Park City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Elizabeth Cunningham graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1720747355
  • Provider Enumeration Date: 12/10/2021
  • Last Update Date: 11/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3779975016
  • Enrollment ID: I20220119001894

Medical Identifiers

Medical identifiers for Holly Elizabeth Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720747355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 205777 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 205777 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 13077780-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Heber Valley HospitalHeber city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oklahoma Pain Institute Pllc87292124023
Southwest Spine And Pain Care Specialists Llc640602004944

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. Holly Elizabeth Cunningham allows following entities to bill medicare on her behalf.
Entity NameOklahoma Pain Institute Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013353440
PECOS PAC ID: 8729212402
Enrollment ID: O20131011001180

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. Holly Elizabeth Cunningham 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
Holly Elizabeth Cunningham,
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Holly Elizabeth Cunningham,
900 Round Valley Dr Ste 200,
Park City, UT 84060-7552

Ph: (435) 658-7400

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).

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