Stacey Lynn Holder, CNP - Medicare Nurse Practitioner in Lima, OH

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Stacey Lynn Holder, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lima, Ohio. Her current practice location is 1800 Allentown Rd, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 795-0311.

Stacey Lynn Holder is licensed to practice in Ohio (license number CNP0032773) 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 1689322026.

Contact Information

Stacey Lynn Holder, CNP
1800 Allentown Rd,
Lima, OH 45805-1873
(614) 795-0311
Not Available

Map and Direction




Provider's Profile

Full NameStacey Lynn Holder
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1800 Allentown Rd, Lima, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689322026
  • Provider Enumeration Date: 03/15/2022
  • Last Update Date: 12/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6002273752
  • Enrollment ID: I20230612001108

Medical Identifiers

Medical identifiers for Stacey Lynn Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689322026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN355876 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP0032773 (Ohio)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. Stacey Lynn Holder allows following entities to bill medicare on her behalf.
Entity NameFar West Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093771230
PECOS PAC ID: 1153227848
Enrollment ID: O20031211001100
Entity NamePsychiatric Services And Tms Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891431821
PECOS PAC ID: 9335527480
Enrollment ID: O20220602001112

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. Stacey Lynn Holder 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
Stacey Lynn Holder, CNP
235 Mill St,
Pataskala, OH 43062-8852

Ph: (614) 795-0311		Stacey Lynn Holder, CNP
1800 Allentown Rd,
Lima, OH 45805-1873

Ph: (614) 795-0311

Reviews and Comments


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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.