Mindy D Holloway, ACNP-BC, FNP-BC - Medicare Nurse Practitioner in Winchester, TN

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Mindy D Holloway, ACNP-BC, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Winchester, Tennessee. Her current practice location is 411 Old Mill Rd, Winchester, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 313-8724.

Mindy D Holloway is licensed to practice in Tennessee (license number 13534) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881852671.

Contact Information

Mindy D Holloway, ACNP-BC, FNP-BC
411 Old Mill Rd,
Winchester, TN 37398-2444
(931) 313-8724
(855) 234-6408

Map and Direction




Provider's Profile

Full NameMindy D Holloway
GenderFemale
SpecialityNurse Practitioner - Family
Location411 Old Mill Rd, Winchester, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881852671
  • Provider Enumeration Date: 05/28/2008
  • Last Update Date: 01/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9739240516
  • Enrollment ID: I20081211000713

Medical Identifiers

Medical identifiers for Mindy D Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881852671NPI-NPPES
1509754MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APN13534 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 13534 (Tennessee)Primary

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. Mindy D Holloway allows following entities to bill medicare on her behalf.
Entity NameAmg-southern Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164789467
PECOS PAC ID: 5991765943
Enrollment ID: O20041013001206

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. Mindy D Holloway 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
Mindy D Holloway, ACNP-BC, FNP-BC
1467 Bonner Way,
Estill Springs, TN 37330-4109

Ph: (931) 313-8724		Mindy D Holloway, ACNP-BC, FNP-BC
411 Old Mill Rd,
Winchester, TN 37398-2444

Ph: (931) 313-8724

Reviews and Comments


Nurse Practitioner Nurses in Winchester, TN

Mrs. Sherry Barstad, APN
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Practice Location: 155 Hospital Rd Ste E, Winchester, TN 37398
Phone: 931-962-0672    
Lisa Renee Stone, CRNP
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Medicare: Medicare Enrolled
Practice Location: 2401 Decherd Blvd, Winchester, TN 37398
Phone: 931-313-1388    Fax: 931-313-1392
Kay Fearing,
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Practice Location: 2118 Cowan Hwy, Winchester, TN 37398
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Erica Edwards, NP
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Practice Location: 83 Memorial Dr, Winchester, TN 37398
Phone: 931-967-3966    
Stephanie Elaine Walker, FNP
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Phone: 931-313-1388    
Mrs. Brandy Denise Ballard, N.P.
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Medicare: Accepting Medicare Assignments
Practice Location: 100 3rd Ave Se, Winchester, TN 37398
Phone: 931-392-4749    Fax: 931-967-0284
Tinsae A Tollesa I,
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Medicare: May Accept Medicare Assignments
Practice Location: 378 Bell Dr W, Winchester, TN 37398
Phone: 940-882-0570    

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.