Mr Kelly Andrew Holland, APRN in Louisville, KY

Mr Kelly Andrew Holland, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Louisville, Kentucky. His current practice location is 645 S Roy Wilkins Ave Ste 200, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 561-0520.

Mr Kelly Andrew Holland is licensed to practice in Kentucky (license number 3018317) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336860840.

Contact Information

	Mr Kelly Andrew Holland, APRN
	645 S Roy Wilkins Ave Ste 200, Louisville, KY 40203-2072
	(502) 561-0520
	(502) 561-0521

Map and Direction

Provider's Profile

Full Name	Mr Kelly Andrew Holland
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	645 S Roy Wilkins Ave Ste 200, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336860840
Provider Enumeration Date: 09/05/2022
Last Update Date: 06/08/2026

Medicare PECOS Information:

PECOS PAC ID: 9638546005
Enrollment ID: I20221028000606

Medical Identifiers

Medical identifiers for Mr Kelly Andrew Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336860840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3018317 (Kentucky)	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. Mr Kelly Andrew Holland allows following entities to bill medicare on his behalf.

Entity Name	University Of Kentucky
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072

Entity Name	The Walker House Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871291450 PECOS PAC ID: 0042747909 Enrollment ID: O20241217002601

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. Mr Kelly Andrew Holland 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
Mr Kelly Andrew Holland, APRN 645 S Roy Wilkins Ave Ste 200, Louisville, KY 40203-2072 Ph: (502) 561-0520	Mr Kelly Andrew Holland, APRN 645 S Roy Wilkins Ave Ste 200, Louisville, KY 40203-2072 Ph: (502) 561-0520

Reviews and Comments

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Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
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Mr Kelly Andrew Holland, APRN - Medicare Nurse Practitioner in Louisville, KY