STEPHANIE HOLDERMAN PMHNP-BC
NPI 1083215917
Registered Nurse - Psychiatric/Mental Health, Adult in Wilmington, NC

Q: What is Stephanie Holderman's NPI number?

The NPI number for Stephanie Holderman is 1083215917. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Q: What is Stephanie Holderman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Active since November 06, 2020PECOS EnrolledAccepts Medicare Assignment

5710 OLEANDER DR STE 112, WILMINGTON, NC 28403(910) 769-1785 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2022, Jan 27, 2021, Nov 6, 2020 (3 updates tracked since 2020).

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About Stephanie Holderman Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE HOLDERMAN PMHNP-BC (NPI 1083215917) is an individual psychiatric/mental health, adult provider in Wilmington, North Carolina, licensed in North Carolina (231439) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083215917

Entity TypeIndividualFemale

Primary Taxonomy163WP0809X

Provider Legal NameSTEPHANIE HOLDERMANCredential: PMHNP-BC

Location Address5710 OLEANDER DR STE 112Wilmington, NC 28403-4722

Mailing Address5710 Oleander Dr Ste 112Wilmington, NC 28403-4722 · (910) 769-1785

Phone(910) 769-1785

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 6, 2020

Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2022

✔ NPI 1083215917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers

Taxonomy Code163WP0809X

License✔ Licensed in NC · 231439

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 5014010 (NC)

5710 OLEANDER DR STE 112, Wilmington, NC 28403

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Secondary Practice Location 1

Location 11920 S 16th StWilmington, NC 28401-6611 · Phone (910) 632-2191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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

Stephanie Holderman Pmhnp-bc 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.

PECOS PAC ID2567861149

PECOS Enrollment IDI20210602001036

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stephanie Holderman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rha Health Services, Inc

4.4 mi

Community/Behavioral Health

1920 S 16TH ST
Wilmington, NC 28401

Reassigned Medicare billing, North Carolina enrollment
173 clinicians in this Medicare group

NPI 1467584953 (910) 763-5355

Pride In North Carolina, LLC

47 mi

Community/Behavioral Health

110-B BRANCHWOOD DRIVE
Jacksonville, NC 28546

Reassigned Medicare billing, North Carolina enrollment
48 clinicians in this Medicare group

NPI 1821136581 (910) 938-9833

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

135 services37 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOMINICK ALBERT ROE

Social Worker (Clinical)