Ms Jade Alexandria Holman, FNP - Medicare Nurse Practitioner in O Fallon, MO

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Ms Jade Alexandria Holman, FNP is a medicare enrolled "Nurse Practitioner - Family" in O Fallon, Missouri. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cep America Llc, Washington University Community Specialists, Llc, Southeastern Emergency Services Of Memphis Pc and her current practice location is 2 Progress Point Pkwy, Dept Emergency Med, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 362-9123.

Ms Jade Alexandria Holman is licensed to practice in Missouri (license number 2015000986) 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 1558750364.

Contact Information

Ms Jade Alexandria Holman, FNP
2 Progress Point Pkwy, Dept Emergency Med,
O Fallon, MO 63368-2205
(314) 362-9123
(314) 747-9160

Map and Direction




Provider's Profile

Full NameMs Jade Alexandria Holman
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location2 Progress Point Pkwy, O Fallon, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Jade Alexandria Holman graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1558750364
  • Provider Enumeration Date: 01/16/2015
  • Last Update Date: 07/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688986276
  • Enrollment ID: I20150710000913

Medical Identifiers

Medical identifiers for Ms Jade Alexandria Holman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558750364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2015000986 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hermann Area District HospitalHermann, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cep America Llc6608056171732
Washington University Community Specialists, Llc862858851449
Southeastern Emergency Services Of Memphis Pc892191276729

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. Ms Jade Alexandria Holman allows following entities to bill medicare on her behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameOur Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902815863
PECOS PAC ID: 5799782496
Enrollment ID: O20061020000531
Entity NameThe Curators Of The University Of Missouri
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235126921
PECOS PAC ID: 4486759560
Enrollment ID: O20070418000290
Entity NameSoutheastern Emergency Services Of Memphis Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20080108000151
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619332046
PECOS PAC ID: 6608056171
Enrollment ID: O20150312000325

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. Ms Jade Alexandria Holman 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 AddressPractice Location Address
Ms Jade Alexandria Holman, FNP
Po Box 7412011,
Chicago, IL 60674-2011

Ph: (314) 362-9123		Ms Jade Alexandria Holman, FNP
2 Progress Point Pkwy, Dept Emergency Med,
O Fallon, MO 63368-2205

Ph: (314) 362-9123

Reviews and Comments


Nurse Practitioner Nurses in O Fallon, MO

Mrs. Shannon M Wood, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368
Phone: 636-561-4613    Fax: 636-561-4610
Leah W Wangui, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 225 Mystic Cv, O Fallon, MO 63368
Phone: 314-583-4665    
Mrs. Dawn Marie Johns,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 920 N Main St, O Fallon, MO 63366
Phone: 314-687-2731    
Brooke Lauren Meyer, RN, MSN, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366
Phone: 636-978-7902    
Mrs. Christina Marie Ivy, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368
Phone: 636-248-8072    
Elizabeth Vollmar, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Highway K, O Fallon, MO 63366
Phone: 636-379-6363    
Gloria Michelle Paul Edacheril, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368
Phone: 636-344-2400    Fax: 636-344-2401

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.