1. Home
  2. Directory
  3. Idaho
  4. Lewiston
  5. Nurse Practitioner
  6. NPI Profile

TAYLER LYNDSEY HOLMAN NP
NPI 1093590580
Nurse Practitioner - Family in Lewiston, ID

Active since August 31, 2023PECOS Enrolled
3428 5TH ST, LEWISTON, ID 83501(509) 552-6674 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tayler Lyndsey Holman Np NPPES

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

TAYLER LYNDSEY HOLMAN NP (NPI 1093590580) is an individual family provider in Lewiston, Idaho, licensed in Washington (AP61471050) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093590580
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAYLER LYNDSEY HOLMANCredential: NP
Location Address3428 5TH STLewiston, ID 83501-4538
Mailing Address3428 5th StLewiston, ID 83501-4538 · (509) 552-6674
Phone(509) 552-6674
Sole ProprietorYes
Enumeration DateAugust 31, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1093590580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP61471050
3428 5TH ST, Lewiston, ID 83501
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tayler Lyndsey Holman Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tayler Holman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-State Memorial Hospital
2.9 mi
Family Medicine
1221 HIGHLAND AVE
Clarkston, WA 99403
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1598814352 (Washington)
  • 144 clinicians in this Medicare group
NPI 1932405693 (509) 758-5511

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 83501 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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 Tayler Holman's NPI number?

The NPI number for Tayler Holman is 1093590580. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Tayler Holman located?

Tayler Holman practices at 3428 5th St, Lewiston, ID 83501. The listed phone number is (509) 552-6674.

What is Tayler Holman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tayler Holman enrolled in Medicare?

Yes. Tayler Holman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tayler Holman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tayler Holman reassigns Medicare benefits to Tri-State Memorial Hospital (Clarkston, WA). 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 Tayler Holman'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 Tayler Holman was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.