Ruth Renee Holley, APN - Medicare Nurse Practitioner in Palmyra, IL

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Ruth Renee Holley, APN is a medicare enrolled "Nurse Practitioner - Family" in Palmyra, Illinois. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Anderson Medical Group Llc, Carlinville Area Hospital Association and her current practice location is 28747 Concord Rd, Palmyra, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 556-4893.

Ruth Renee Holley is licensed to practice in Illinois (license number 209.014088) 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 1396107587.

Contact Information

Ruth Renee Holley, APN
28747 Concord Rd,
Palmyra, IL 62674-6432
(217) 556-4893
Not Available

Map and Direction




Provider's Profile

Full NameRuth Renee Holley
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location28747 Concord Rd, Palmyra, Illinois
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:
  • Ruth Renee Holley graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1396107587
  • Provider Enumeration Date: 03/25/2016
  • Last Update Date: 02/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931499944
  • Enrollment ID: I20160603000714

Medical Identifiers

Medical identifiers for Ruth Renee Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396107587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.014088 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carlinville Area HospitalCarlinville, ILHospital
Anderson HospitalMaryville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anderson Medical Group Llc5193792018122
Carlinville Area Hospital Association903202137320

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. Ruth Renee Holley allows following entities to bill medicare on her behalf.
Entity NameCarlinville Area Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520
Entity NameMidwest Emergency Department Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245263367
PECOS PAC ID: 5193627727
Enrollment ID: O20040123000845
Entity NameAnderson Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700807716
PECOS PAC ID: 5193792018
Enrollment ID: O20040910001137

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. Ruth Renee Holley 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
Ruth Renee Holley, APN
28747 Concord Rd,
Palmyra, IL 62674-6432

Ph: (217) 556-4893		Ruth Renee Holley, APN
28747 Concord Rd,
Palmyra, IL 62674-6432

Ph: (217) 556-4893

Reviews and Comments


Nurse Practitioner Nurses in Palmyra, IL


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.