Mrs Kimberly Kay Holt, APRN in Ponca City, OK

Mrs Kimberly Kay Holt, APRN is a medicare enrolled "Nurse Practitioner" in Ponca City, Oklahoma. Her current practice location is 200 White Eagle Dr, Ponca City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 765-2501.

Mrs Kimberly Kay Holt is licensed to practice in Oklahoma (license number 78490) 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 1730496423.

Contact Information

	Mrs Kimberly Kay Holt, APRN
	200 White Eagle Dr, Ponca City, OK 74601-8315
	(580) 765-2501
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Kay Holt
Gender	Female
Speciality	Nurse Practitioner
Location	200 White Eagle Dr, Ponca City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730496423
Provider Enumeration Date: 09/02/2010
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 8123210358
Enrollment ID: I20120718000213

Medical Identifiers

Medical identifiers for Mrs Kimberly Kay Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730496423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	141529 (Kansas)	Secondary
363L00000X	Nurse Practitioner	78490 (Oklahoma)	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. Mrs Kimberly Kay Holt allows following entities to bill medicare on her behalf.

Entity Name	White Eagle Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699875724 PECOS PAC ID: 1456324193 Enrollment ID: O20040819000518

Entity Name	Williams Medical Group Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300

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. Mrs Kimberly Kay 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
Mrs Kimberly Kay Holt, APRN 820 Road 8, Cedar Vale, KS 67024-9025 Ph: (620) 330-7477	Mrs Kimberly Kay Holt, APRN 200 White Eagle Dr, Ponca City, OK 74601-8315 Ph: (580) 765-2501

Reviews and Comments

Nurse Practitioner Nurses in Ponca City, OK

Amy Casey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-1911
Courtney Dawn Beck, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 Virginia Ave, Ponca City, OK 74601 Phone: 580-767-1300
Mrs. Orele Shananae Ferguson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 White Eagle Dr, Ponca City, OK 74601 Phone: 580-765-2501 Fax: 580-765-0984
Mrs. Brenda Lee Peters, A.R.N.P. & C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 Fairview Ave Ste 100, Ponca City, OK 74601 Phone: 580-765-5569 Fax: 580-765-2020
Mrs. Brittany Dawn Beier, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 N 14th St. #114, Ponca City, OK 74601 Phone: 580-762-1552
Nicki Carriere, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Homestead N, Ponca City, OK 74604 Phone: 580-304-6298
Ashley Hesson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N 14th St, Ponca City, OK 74601 Phone: 580-765-0514

Mrs Kimberly Kay Holt, APRN - Medicare Nurse Practitioner in Ponca City, OK