KATHERINE HOLTER ACNP
NPI 1093139958
Nurse Practitioner - Acute Care in Athens, OH

Active since February 13, 2014PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
55 HOSPITAL DR, ATHENS, OH 45701(740) 593-5551 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katherine Holter Acnp NPPES

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

KATHERINE HOLTER ACNP (NPI 1093139958) is an individual acute care provider in Athens, Ohio, licensed in Ohio (APRN.CNP.15646) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth O'bleness Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093139958
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKATHERINE HOLTERCredential: ACNP
Location Address55 HOSPITAL DRAthens, OH 45701-2302
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141 · (614) 544-6155 · Fax (614) 544-6370
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 13, 2014
Last NPPES UpdateDecember 23, 2019
✔ NPI 1093139958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.15646
55 HOSPITAL DR, Athens, OH 45701

Accepted 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

Katherine Holter Acnp 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 ID9537384961
PECOS Enrollment IDI20140627000552
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

4

Medicare enrollment records show Katherine Holter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
100 JACKSON PIKE
Gallipolis, OH 45631
  • Reassigned Medicare billing, Ohio enrollment
  • 321 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
Family Medicine
601 20TH ST
Huntington, WV 25703
  • Reassigned Medicare billing, Ohio enrollment
  • 176 clinicians in this Medicare group
Hospitalist
651 W MARION RD
Mount Gilead, OH 43338
  • Reassigned Medicare billing, Ohio enrollment
  • 89 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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers83 claims83 services$18.86 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers23 claims23 services$8.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers92 claims92 services$107.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
55 HOSPITAL DR
ATHENS, OH 45701
Emergency Medicine
55 HOSPITAL DR, ED - DEPT.
ATHENS, OH 45701
Dermatology
55 HOSPITAL DR
ATHENS, OH 45701
Emergency Medicine
55 HOSPITAL DR
ATHENS, OH 45701
Nurse Practitioner
55 HOSPITAL DR
ATHENS, OH 45701
Neurological Surgery
55 HOSPITAL DR
ATHENS, OH 45701
Emergency Medicine
55 HOSPITAL DR
ATHENS, OH 45701
Internal Medicine
55 HOSPITAL DR
ATHENS, OH 45701

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 Katherine Holter's NPI number?

The NPI number for Katherine Holter is 1093139958. It was assigned to this individual provider in the NPPES registry on February 13, 2014.

Where is Katherine Holter located?

Katherine Holter practices at 55 Hospital Dr, Athens, OH 45701. The listed phone number is (740) 593-5551.

What is Katherine Holter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Katherine Holter enrolled in Medicare?

Yes. Katherine Holter 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 organizations bill Medicare for Katherine Holter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Holter reassigns Medicare benefits to 4 organizations: Holzer Clinic, LLC (Gallipolis, OH), Ohiohealth Corporation (Columbus, OH), Ohio Valley Physicians Inc (Huntington, WV) and Hospital Medicine Services Of Ohio, Inc. (Mount Gilead, OH). Each 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 Katherine Holter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Holter accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and Molina Healthcare list Katherine Holter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katherine Holter affiliated with any hospitals?

According to CMS data, Katherine Holter is affiliated with Ohiohealth O'bleness Hospital and Holzer Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Holter was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.