Mrs Jennifer Ashley Gooch Holmes, FNP-C - Medicare Nurse Practitioner in Terre Haute, IN

  1. Home
  2. Nurse Practitioner
  3. IN
  4. Terre Haute
Mrs Jennifer Ashley Gooch Holmes, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Terre Haute, Indiana. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sullivan County Community Hospital and her current practice location is 110 Crawford St, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 220-4755.

Mrs Jennifer Ashley Gooch Holmes is licensed to practice in Indiana (license number 71009260A) 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 1114574191.

Contact Information

Mrs Jennifer Ashley Gooch Holmes, FNP-C
110 Crawford St,
Terre Haute, IN 47807-4614
(812) 220-4755
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jennifer Ashley Gooch Holmes
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location110 Crawford St, Terre Haute, Indiana
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:
  • Mrs Jennifer Ashley Gooch Holmes graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1114574191
  • Provider Enumeration Date: 08/23/2019
  • Last Update Date: 08/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0042609836
  • Enrollment ID: I20211117000441

Medical Identifiers

Medical identifiers for Mrs Jennifer Ashley Gooch Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114574191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71009260A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sullivan County Community HospitalSullivan, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sullivan County Community Hospital246649748233

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 Jennifer Ashley Gooch Holmes allows following entities to bill medicare on her behalf.
Entity NameSullivan County Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497759260
PECOS PAC ID: 2466497482
Enrollment ID: O20070817000379
Entity NameUnion Associated Physicians Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891028379
PECOS PAC ID: 3375687437
Enrollment ID: O20100213000002
Entity NameSullivan County Community Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1447805965
PECOS PAC ID: 2466497482
Enrollment ID: O20200117000707
Entity NameSullivan County Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497363303
PECOS PAC ID: 2466497482
Enrollment ID: O20200831000591

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 Jennifer Ashley Gooch Holmes 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
Mrs Jennifer Ashley Gooch Holmes, FNP-C
2357 E State Road 48,
Shelburn, IN 47879-8084

Ph: () -		Mrs Jennifer Ashley Gooch Holmes, FNP-C
110 Crawford St,
Terre Haute, IN 47807-4614

Ph: (812) 220-4755

Reviews and Comments


Nurse Practitioner Nurses in Terre Haute, IN

David Moore Hamrick, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4757 S 7th St, Terre Haute, IN 47802
Phone: 812-234-2289    Fax: 812-232-4234
Mrs. Loretta Lucille White, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 749 Chestnut St, Terre Haute, IN 47809
Phone: 812-237-3486    
Cherie G Howk, PHD, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 620 8th Ave, Terre Haute, IN 47804
Phone: 812-231-8323    
Mrs. Jacqueline Marie Hart, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1606 N 7th St, Terre Haute, IN 47804
Phone: 812-238-7000    
Mrs. Ann Monken,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1739 N 4th St, Terre Haute, IN 47804
Phone: 812-242-3600    
Andrea Lynn Mccoy, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3560 S 4th St, Terre Haute, IN 47802
Phone: 812-235-8496    
Roberta Lynn Delp, APRN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1436 Locust St, Terre Haute, IN 47807
Phone: 812-232-7447    

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.