Kelley D. Holland, PA
NPI 1023787074ActiveIndividual· Physician Assistant, Medical· Lake City, FL
Physician Assistant, Medical (PA) with Florida Clinical Practice Association Inc, practicing in Lake City, Florida. 119 Medicare patients in 2024, $11,158 paid; nearly all of their 194 Part D prescriptions were generic (93%). Lists Uf Health Shands Hospital as a hospital affiliation.
Overview
| NPI | 1023787074 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 12, 2021 |
| Last updated in NPPES | Apr 11, 2022 |
| Certified by provider | Apr 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PAT9114916 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 126 across 16 procedure codes |
| Paid by Medicare | $11,158 |
Part D prescriptions in 2024
| Prescriptions (claims) | 194 · 205 30-day fills |
|---|---|
| Patients | 140 |
| Total drug cost | $4,981 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Florida Clinical Practice Association IncGainesville, FL · 1,924 clinicians
Hospital affiliation
- Uf Health Shands HospitalGainesville, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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