Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly J Lago, C-FNP

Individual provider Family Nurse Practitioner · NPI 1649240938

Holly J Lago, C-FNP is a Nurse Practitioner in Peoria, Arizona. Qualified in 2005, 21 years ago. Practices with Centerwell Senior Primary Care Az PC, a 47-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Kansas, Minnesota and Missouri.

Years since qualifying
21
Licensed in
KS, MN, MO
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

10280 N 91st Ave
Peoria, AZ 85345-6461
Phone: (602) 842-9880
Fax: (877) 891-4091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1940 W Indian School Rd Ste 1, Phoenix, AZ 85015-5112 — (602) 782-1880
  • 15604 Pinehurst Dr Ste 2, Basehor, KS 66007-8234 — (913) 728-2200
  • 8101 Parallel Pkwy Ste 100, Kansas City, KS 66112-2067 — (913) 299-9200
  • 505 Highway 169 N, Plymouth, MN 55441-6434 — (612) 877-1359

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 80303 (KS)
Nurse Practitioner Taxonomy 363L00000X · Licence R134082-4 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2020040251 (MO)

Record details

NPI number1649240938
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-FNP
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Centerwell Senior Primary Care Az Pc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Peoria