Mrs Ellen Terese Holm, AGPCNP-BC in Bettendorf, IA

Mrs Ellen Terese Holm, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Bettendorf, Iowa. 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 Kidney Specialists, Pc and her current practice location is 3682 Utica Ridge Rd Unit A, Bettendorf, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 370-1853.

Mrs Ellen Terese Holm is licensed to practice in Indiana (license number 2014015805) 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 1942606413.

Contact Information

	Mrs Ellen Terese Holm, AGPCNP-BC
	3682 Utica Ridge Rd Unit A, Bettendorf, IA 52722-1648
	(563) 370-1853
	(563) 386-0965

Map and Direction

Provider's Profile

Full Name	Mrs Ellen Terese Holm
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3682 Utica Ridge Rd Unit A, Bettendorf, Iowa
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Ellen Terese Holm graduated from nursing school in 2014

NPI Data:

NPI Number: 1942606413
Provider Enumeration Date: 11/11/2014
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4789906827
Enrollment ID: I20170818000310

Medical Identifiers

Medical identifiers for Mrs Ellen Terese Holm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942606413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	2014015805 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Genesis Hlth System Dba Genesis Mdl Ctr-illini	Silvis, IL	Hospital
Genesis Medical Center-davenport	Davenport, IA	Hospital
Genesis Medical Center-dewitt	Dewitt, IA	Hospital
Trinity Muscatine	Muscatine, IA	Hospital
Trinity - Rock Island	Rock island, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kidney Specialists, Pc	1456437771	3

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 Ellen Terese Holm allows following entities to bill medicare on her behalf.

Entity Name	Cardiovascular Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982632907 PECOS PAC ID: 2264334721 Enrollment ID: O20040322001926

Entity Name	Kidney Specialists, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598935488 PECOS PAC ID: 1456437771 Enrollment ID: O20080327000375

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 Ellen Terese Holm 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 Ellen Terese Holm, AGPCNP-BC 3682 Utica Ridge Rd Unit A, Bettendorf, IA 52722-1648 Ph: (563) 391-1024	Mrs Ellen Terese Holm, AGPCNP-BC 3682 Utica Ridge Rd Unit A, Bettendorf, IA 52722-1648 Ph: (563) 370-1853

Reviews and Comments

Nurse Practitioner Nurses in Bettendorf, IA

Mrs. Christina Marie Cunningham, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2140 53rd Ave, Bettendorf, IA 52722 Phone: 309-738-8499
Mary Kathleen Skafidas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 Phone: 563-355-7733 Fax: 563-355-9077
Victoria I Rowlands, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4017 Devils Glen Rd Ste 200, Bettendorf, IA 52722 Phone: 563-332-3400 Fax: 563-332-4784
Deborah S Haas, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4017 Devils Glen Rd, Ste 100, Bettendorf, IA 52722 Phone: 563-332-6387 Fax: 563-332-9197
Dr. Teresa Dale Schenck, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4439 Devlis Glenn Rd, #615, Bettendorf, IA 52722 Phone: 563-265-2322
Brandi Donnelly, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Utica Ridge Rd, Bettendorf, IA 52722 Phone: 563-742-3201 Fax: 563-742-3205
Jessica Lee Ehlers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Crow Creek Rd, Bettendorf, IA 52722 Phone: 563-332-7463

Mrs Ellen Terese Holm, AGPCNP-BC - Medicare Nurse Practitioner in Bettendorf, IA