Kelly L Holt, NP in Mattoon, IL - Medicare Nurse Practitioner

Kelly L Holt, NP is a medicare enrolled "Nurse Practitioner - Family" in Mattoon, Illinois. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hoopeston Community Memorial Hospital and her current practice location is 2512 Hurst Dr., Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 258-5900.

Kelly L Holt is licensed to practice in Illinois (license number 209007570) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407006828.

Contact Information

	Kelly L Holt, NP
	2512 Hurst Dr., Mattoon, IL 61938-9388
	(217) 258-5900
	(217) 258-5904

Map and Direction

Provider's Profile

Full Name	Kelly L Holt
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	2512 Hurst Dr., Mattoon, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly L Holt graduated from nursing school in 2008

NPI Data:

NPI Number: 1407006828
Provider Enumeration Date: 09/22/2008
Last Update Date: 11/26/2014

Medicare PECOS Information:

PECOS PAC ID: 5597933770
Enrollment ID: I20110713000513

Medical Identifiers

Medical identifiers for Kelly L Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407006828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041-335540 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209007570 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hoopeston Community Memorial Hospital	3577456037	121

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly L Holt allows following entities to bill medicare on her behalf.

Entity Name	Hoopeston Community Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly L Holt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly L Holt, NP 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792	Kelly L Holt, NP 2512 Hurst Dr., Mattoon, IL 61938-9388 Ph: (217) 258-5900

Reviews and Comments

Nurse Practitioner Nurses in Mattoon, IL

Diana L. Oakley, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 104, Mattoon, IL 61938 Phone: 217-258-2178 Fax: 217-258-4024
Penelope Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053
Veronica N Wright, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 102, Mattoon, IL 61938 Phone: 217-258-4042
Emily N Hardiek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686
Robert C Atchley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551
Loring Barr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323
Mrs. Stacey Tebbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938 Phone: 217-234-5110

Kelly L Holt, NP - Medicare Nurse Practitioner in Mattoon, IL