Jade Alexandria Holman, FNP-C - Medicare Nurse Practitioner in Columbia, MO

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Jade Alexandria Holman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Columbia, Missouri. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Emergency Services Of Memphis Pc and her current practice location is One Hospital Dr, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 882-8091.

Jade Alexandria Holman is licensed to practice in Missouri (license number 2015000986) 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 1558750364.

Contact Information

Jade Alexandria Holman, FNP-C
One Hospital Dr,
Columbia, MO 65212-0001
(573) 882-8091
(573) 884-1902

Map and Direction




Provider's Profile

Full NameJade Alexandria Holman
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
LocationOne Hospital Dr, Columbia, Missouri
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:
  • Jade Alexandria Holman graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1558750364
  • Provider Enumeration Date: 01/16/2015
  • Last Update Date: 02/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688986276
  • Enrollment ID: I20150710000913

Medical Identifiers

Medical identifiers for Jade Alexandria Holman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558750364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2015000986 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 2015000986 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hermann Area District HospitalHermann, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Services Of Memphis Pc892191276724

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. Jade Alexandria Holman allows following entities to bill medicare on her behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameOur Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902815863
PECOS PAC ID: 5799782496
Enrollment ID: O20061020000531
Entity NameThe Curators Of The University Of Missouri
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235126921
PECOS PAC ID: 4486759560
Enrollment ID: O20070418000290
Entity NameSoutheastern Emergency Services Of Memphis Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20080108000151
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619332046
PECOS PAC ID: 6608056171
Enrollment ID: O20150312000325

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. Jade Alexandria Holman 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
Jade Alexandria Holman, FNP-C
Po Box 843966,
Kansas City, MO 64184-3966

Ph: (573) 884-3300		Jade Alexandria Holman, FNP-C
One Hospital Dr,
Columbia, MO 65212-0001

Ph: (573) 882-8091

Reviews and Comments


Nurse Practitioner Nurses in Columbia, MO

Diana L Erion, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 1600 E Broadway, Columbia, MO 65201
Phone: 573-875-8838    Fax: 573-875-8589
Jennifer Michelle Kandlik, F.N.P.
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Medicare: Accepting Medicare Assignments
Practice Location: One Hospital Dr, Columbia, MO 65212
Phone: 573-882-8788    Fax: 573-882-3131
Ms. Lauren Ann Mistler, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2101 Corona Rd Ste 102, Columbia, MO 65203
Phone: 573-234-1800    
Sheila Marie Struckmeyer, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: One Hospital Dr, Columbia, MO 65212
Phone: 573-884-4400    Fax: 573-884-5994
Lauren Taylor Vollrath, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1020 Hitt St, Columbia, MO 65212
Phone: 573-499-6041    Fax: 573-499-6091
Janis M Sears, APN-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 800 Hospital Dr, Columbia, MO 65201
Phone: 573-814-6000    
Elisa M Amspacher, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Hospital Drive, Columbia, MO 65212
Phone: 573-882-3106    Fax: 573-882-1760

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.