Individual provider Active NPI

Colleen Weeks Holloway, PA

  • Physician Assistant
  • Truckee, CA
National Provider Identifier
1659819845
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1820 Issued in NV
Practice address
10956 Donner Pass Rd Ste 110
Truckee, CA 96161-4860
Phone
(530) 581-8864
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1820 NV Primary

Addresses

Primary practice location

10956 Donner Pass Rd Ste 110
Truckee, CA 96161-4860

Mailing address

10956 Donner Pass Rd Ste 110
Truckee, CA 96161-4860
Phone (530) 581-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20170331001712 NV Practitioner - Physician Assistant 9436434560 Reassigns benefits to 1 organization
I20200422000547 CA Practitioner - Physician Assistant 9436434560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, 140 clinicians

Practice addresses (Care Compare)

10051 Lake Ave
Truckee, CA 96161-4870
Phone (530) 587-7461

10956 Donner Pass Rd
Truckee, CA 96161-4860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Forest Hospital District CurrentSince Mar 16, 2020 Accepting new patients
Tahoe Forest Hospital District CurrentSince Mar 16, 2020 Accepting new patients
Tahoe Forest Hospital District Past Accepting new patients

Locations

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

10956 Donner Pass Rd
Ste 230
Truckee, CA 96161
Phone (530) 582-3277

10978 Donner Pass Rd
Truckee, CA 96161
Phone (530) 582-1212

10956 Donner Pass Rd
Ste 110
Truckee, CA 96161
Phone (530) 581-8864

880 Alder Ave
Fl Second
Incline Vlg, NV 89451
Phone (775) 831-5308

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

Interoperability endpoints

  • Direct secure messaging: cweeks992361@directa.mercy.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1659819845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD STE 110",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614860",
            "telephone_number": "530-581-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD STE 110",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614860",
            "telephone_number": "530-581-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "COLLEEN",
        "middle_name": "WEEKS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.