JULIA HOLSOMBACK APRN
NPI 1083179816
Nurse Practitioner - Family in Jacksonville, FL
About Julia Holsomback Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIA HOLSOMBACK APRN (NPI 1083179816) is an individual family provider in Jacksonville, Florida, licensed in Florida (9424941) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Julia Holsomback Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Julia Holsomback reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Acworth, GA 30101
- Reassigned Medicare billing, Georgia enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32258 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32258
JACKSONVILLE, FL 32258
JACKSONVILLE, FL 32258
JACKSONVILLE, FL 32258
JACKSONVILLE, FL 32258
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Julia Holsomback's NPI number?
The NPI number for Julia Holsomback is 1083179816. It was assigned to this individual provider in the NPPES registry on February 6, 2019.
Where is Julia Holsomback located?
Julia Holsomback practices at 11481 Old Saint Augustine Rd, Jacksonville, FL 32258. The listed phone number is (904) 633-0210.
What is Julia Holsomback's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Julia Holsomback enrolled in Medicare?
Yes. Julia Holsomback is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Julia Holsomback's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julia Holsomback reassigns Medicare benefits to Cowry Medical Group, LLC (Acworth, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julia Holsomback's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Julia Holsomback was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Julia Holsomback, APRN · NPI 1083179816
Family physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since February 6, 2019.
## Identity
- **NPI:** 1083179816 (Entity type: Individual)
- **Enumerated:** February 6, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9424941 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 11481 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258-1473
- **Phone:** (904) 633-0210
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cowry Medical Group, LLC (NPI 1730688490, Acworth, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1083179816) · Data from the CMS NPPES public registry.