Jacob C Holloway, APRN-CNP - Medicare Nurse Practitioner in Washington Court House, OH

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Jacob C Holloway, APRN-CNP is a medicare enrolled "Nurse Practitioner" in Washington Court House, Ohio. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Osup Community Outreach Llc and his current practice location is 1430 Columbus Ave, Washington Court House, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 335-1210.

Jacob C Holloway is licensed to practice in Ohio (license number APRN.CNP.0030557) 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 1851751630.

Contact Information

Jacob C Holloway, APRN-CNP
1430 Columbus Ave,
Washington Court House, OH 43160-1703
(740) 335-1210
Not Available

Map and Direction




Provider's Profile

Full NameJacob C Holloway
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location1430 Columbus Ave, Washington Court House, Ohio
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:
  • Jacob C Holloway graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1851751630
  • Provider Enumeration Date: 03/07/2016
  • Last Update Date: 11/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749562163
  • Enrollment ID: I20220325001998

Medical Identifiers

Medical identifiers for Jacob C Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851751630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP130409 (Texas)Secondary
363L00000XNurse Practitioner APRN.CNP.0030557 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osup Community Outreach Llc5799008082130

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. Jacob C Holloway allows following entities to bill medicare on his behalf.
Entity NameOsu Emergency Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699705681
PECOS PAC ID: 2668386673
Enrollment ID: O20031114000120
Entity NameHighland District Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225053119
PECOS PAC ID: 0941191167
Enrollment ID: O20040324001232
Entity NameOsu Observation Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407095052
PECOS PAC ID: 3375692270
Enrollment ID: O20090526000354
Entity NameOsup Community Outreach Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699179929
PECOS PAC ID: 5799008082
Enrollment ID: O20141217001070

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. Jacob C 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
Jacob C Holloway, APRN-CNP
1430 Columbus Ave,
Washington Court House, OH 43160-1703

Ph: (740) 335-1210		Jacob C Holloway, APRN-CNP
1430 Columbus Ave,
Washington Court House, OH 43160-1703

Ph: (740) 335-1210

Reviews and Comments


Nurse Practitioner Nurses in Washington Court House, OH

Kathleen M Adkins, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 312 Highland Ave., Suite H, Washington Court House, OH 43160
Phone: 740-335-8608    Fax: 740-335-0137
Michelle M Thompson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1156 Columbus Ave Ste C, Washington Court House, OH 43160
Phone: 740-313-7369    Fax: 740-313-7614
Ms. Kashmere Lynnette Pearson, MSN, APRN-CNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321 E Court St, Washington Court House, OH 43160
Phone: 614-219-9394    
Rita M Storts, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1510 Columbus Ave Ste 230, Washington Court House, OH 43160
Phone: 740-333-3333    Fax: 740-333-5171
Allison Butler, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 308 Highland Ave Unit C, Washington Court House, OH 43160
Phone: 740-333-4950    
Emily Susanne Bower, APRN-CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1510 Columbus Ave Ste 230, Washington Court House, OH 43160
Phone: 740-333-3333    
Megan Lynne Miller, MSN, FNP-BC, CPEN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 820 S North St, Washington Court House, OH 43160
Phone: 614-208-6737    

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.