Kody Keith Holt, FNP-C - Medicare Nurse Practitioner in Enterprise, UT

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Kody Keith Holt, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Enterprise, Utah. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Revere Health Pc and his current practice location is 223 S. 200 E, Enterprise, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 878-2281.

Kody Keith Holt is licensed to practice in Utah (license number 9809369-4408) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316533698.

Contact Information

Kody Keith Holt, FNP-C
223 S. 200 E,
Enterprise, UT 84725
(435) 878-2281
Not Available

Map and Direction




Provider's Profile

Full NameKody Keith Holt
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location223 S. 200 E, Enterprise, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kody Keith Holt graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1316533698
  • Provider Enumeration Date: 12/21/2020
  • Last Update Date: 10/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1850781774
  • Enrollment ID: I20211208003614

Medical Identifiers

Medical identifiers for Kody Keith Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316533698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9809369-4408 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Health St George Regional HospitalSt george, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Revere Health Pc7517868508407

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. Kody Keith Holt allows following entities to bill medicare on his behalf.
Entity NameRevere Health PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805
Entity NameMain Street Family Medicine PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518636844
PECOS PAC ID: 0547650962
Enrollment ID: O20211129001703

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. Kody Keith 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 AddressPractice Location Address
Kody Keith Holt, FNP-C
Po Box 758,
Enterprise, UT 84725-0758

Ph: Not Available		Kody Keith Holt, FNP-C
223 S. 200 E,
Enterprise, UT 84725

Ph: (435) 878-2281

Reviews and Comments


Nurse Practitioner Nurses in Enterprise, UT

Lexi Ann Hartley, RN, BSN, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 571 Main St, Enterprise, UT 84725
Phone: 435-878-5711    Fax: 435-878-5712
Ms. Shelley Sanderson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 223 South 200 East, Enterprise, UT 84725
Phone: 435-878-2281    Fax: 435-878-2434

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.