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Active NPI 1760089841 Individual Practitioner Male Practitioner

Dr. Jonathan Holloway , DNP

Nurse Practitioner • Moscow, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Holloway, DNP is a certified Nurse Practitioner practicing in Moscow, ID. With approximately 6 years of clinical experience since completing medical education in 2020, Dr. Holloway delivers high-quality medical care to the local community at 803 S MAIN ST STE 210.

Dr. Holloway is affiliated with Hilo Benioff Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

803 S Main St Ste 210

Moscow, ID 838432695

Telephone 5092281000
Fax 5092529300
Associated Practice Facility / Clinic
🏢 Gritman Medical Center Inc Facility NPI 1235626474

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Moscow, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.8 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Moscow, ID (602 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Holloway (6 Years) 6 Yrs
Moscow Specialty Average (10.8 Years) 10.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
446 186 $260.69 $100.27
99213 Established patient office or other outpatient visit, typically 15 minutes
37 30 $192.64 $71.09

Medical Specialties & State Licenses

CMS Verified: 2025-04-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID 74509

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MP R190104

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License AZ RN208920

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License HI APRN-4900

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AZ 248356

Definition to come...

Hospital & Practice Group Affiliations

Hilo Benioff Medical Center

1190 Waianuenue Ave, Hilo, HI 967202089

Phone: 8089323000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Keefer

Registered Nurse - Oncology

NPI 1003235086
Christine Fiorentino , NP

Nurse Practitioner

NPI 1033531892

Nurse Practitioner

Dr. Christopher Lee , MD

Radiology - Radiation Oncology

NPI 1043266810

Doctor of Medicine (M.D.)

Dr. Michalina Kupsik , MD

Surgery - Surgical Oncology

NPI 1043657422

Doctor of Medicine (M.D.)

Dr. Lia Head , MD

Internal Medicine - Hematology & Oncology

NPI 1043674161

Doctor of Medicine (M.D.)

Dr. Elizabeth Gunderson , MD

Internal Medicine - Medical Oncology

NPI 1053401745

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 10, 2023

Registered at 803 S MAIN ST STE 210, MOSCOW, ID 838432695 (Tel: 5092281000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Registered Nurse (License #R190104 in MP)

NPI Profile Active October 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2020

Registered at 1 LOWER NAVY HILL, SAIPAN, MP 96950 (Tel: 6702348950)

📍
Updated Business Mailing Address October 02, 2020

Registered at PO BOX 500409, SAIPAN, MP 969500409

👤
Provider Name / Credentials Updated October 02, 2020

Recorded as JONATHAN HOLLOWAY, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2020

Registered Nurse (License #RN208920 in AZ)

🟢
Initial NPI Registration & Enumeration October 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760089841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2020
Last Update: April 25, 2025
Sole Proprietor: No

Mailing Address

Po Box 500409

Saipan, MP 969500409

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.