Holly J Lago, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

80303 Issued in KS

Practice address

10280 N 91St Ave
Peoria, AZ 85345-6461

Phone

(602) 842-9880

Fax

(877) 891-4091

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 13

Other names 1

• Holly J Wood Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care Az PCGroup PAC ID 9830576354, 47 clinicians

Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.lago.1@29601.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centerwell Senior Primary Care Az PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1073260352
  Medicare reassignment Care Compare group NPD
• Oak Street Health Physicians Group of Arizona PLLC

  • Primary Care Clinic/Center
  • Apache Junction, AZ
  • NPI 1063083590

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Shawnee, KS
  • NPI 1356683213
  Medicare reassignment NPD
• Centerwell Senior Primary Care Az PC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1205583549
  NPD
• Centerwell Senior Primary Care Az PC

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1699582106
  NPD
• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Leavenworth, KS
  • NPI 1972119741
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1649240938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10280 N 91ST AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456461",
            "telephone_number": "602-842-9880",
            "fax_number": "877-891-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 W Indian School Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850155112",
            "country_code": "US",
            "telephone_number": "602-782-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Highway 169 N",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554416434",
            "country_code": "US",
            "telephone_number": "612-877-1359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 Parallel Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661122067",
            "country_code": "US",
            "telephone_number": "913-299-9200",
            "fax_number": "913-299-9210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15604 Pinehurst Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Basehor",
            "state": "KS",
            "postal_code": "660078234",
            "country_code": "US",
            "telephone_number": "913-728-2200",
            "fax_number": "913-728-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGO",
        "first_name": "HOLLY",
        "middle_name": "J",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "80303",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R134082-4",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020040251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886467500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA",
            "identifier": "13620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "253254",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "281G0KO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF ONE",
            "identifier": "974311045631",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAS PPO",
            "identifier": "806278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0121785",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "135445",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "435M6KO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0599456",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH",
            "identifier": "47358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP56828",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00365643",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.lago.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10280 N 91st Ave",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853456461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "WOOD",
            "middle_name": "J",
            "credential": "C-FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.