Stephanie Jo Holt, NP - Medicare Nurse Practitioner in Portage, WI

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Stephanie Jo Holt, NP is a medicare enrolled "Nurse Practitioner" in Portage, Wisconsin. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Divine Savior Healthcare Inc, University Of Wisconsin Medical Foundation Inc and her current practice location is 2817 New Pinery Rd, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 742-4131.

Stephanie Jo Holt is licensed to practice in Wisconsin (license number 10273-33) 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 1164047015.

Contact Information

Stephanie Jo Holt, NP
2817 New Pinery Rd,
Portage, WI 53901-9240
(608) 742-4131
Not Available

Map and Direction




Provider's Profile

Full NameStephanie Jo Holt
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location2817 New Pinery Rd, Portage, Wisconsin
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:
  • Stephanie Jo Holt graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1164047015
  • Provider Enumeration Date: 06/16/2020
  • Last Update Date: 06/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8426476094
  • Enrollment ID: I20200914001694

Medical Identifiers

Medical identifiers for Stephanie Jo Holt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164047015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 10273-33 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Wi Hospitals & Clinics AuthorityMadison, WIHospital
Divine Savior HealthcarePortage, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Divine Savior Healthcare Inc579968400794
University Of Wisconsin Medical Foundation Inc66087854642380

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. Stephanie Jo Holt allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909

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. Stephanie Jo 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
Stephanie Jo Holt, NP
7974 Uw Health Ct,
Middleton, WI 53562-5531

Ph: () -		Stephanie Jo Holt, NP
2817 New Pinery Rd,
Portage, WI 53901-9240

Ph: (608) 742-4131

Reviews and Comments


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Tsering Lhamo, NP
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Practice Location: 2817 New Pinery Rd, Portage, WI 53901
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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.