Kelli Holland, NP in Portage, IN - Medicare Nurse Practitioner

Kelli Holland, NP is a medicare enrolled "Nurse Practitioner" in Portage, Indiana. Her current practice location is 3156 Willowcreek Rd, Portage, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 762-9444.

Kelli Holland is licensed to practice in Indiana (license number 71013530A) 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 1962108837.

Contact Information

	Kelli Holland, NP
	3156 Willowcreek Rd, Portage, IN 46368-4424
	(219) 762-9444
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelli Holland
Gender	Female
Speciality	Nurse Practitioner
Location	3156 Willowcreek Rd, Portage, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962108837
Provider Enumeration Date: 02/02/2023
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 3274905518
Enrollment ID: I20230214001311

Medical Identifiers

Medical identifiers for Kelli Holland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962108837	NPI	-	NPPES
71013530A	Other	IN	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71013530A (Indiana)	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. Kelli Holland allows following entities to bill medicare on her behalf.

Entity Name	Inpatient Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841663754 PECOS PAC ID: 4486075959 Enrollment ID: O20200609002044

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. Kelli 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
Kelli Holland, NP 3156 Willowcreek Rd, Portage, IN 46368-4424 Ph: (219) 762-9444	Kelli Holland, NP 3156 Willowcreek Rd, Portage, IN 46368-4424 Ph: (219) 762-9444

Reviews and Comments

Nurse Practitioner Nurses in Portage, IN

Lauren A Ostrowski-winkler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3564 Scottsdale St, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-3251
Roxanne Gayle Robinson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3691 Willowcreek Rd, Portage, IN 46368 Phone: 219-921-1444 Fax: 219-921-5303
Jeanne B Schramm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3175 Lancer St, Portage, IN 46368 Phone: 219-762-9571
Sara Elizabeth Berry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348
Sheila Watson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6628
Jessica Rose Baldwin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112
Patricia Evelyn Biel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6385 Fax: 219-703-6787

Kelli Holland, NP - Medicare Nurse Practitioner in Portage, IN