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KAREN LEIGH HOLDSWORTH NP
NPI 1104454842
Nurse Practitioner in Graham, NC

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
214 E ELM ST, GRAHAM, NC 27253(336) 226-2448 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2021, Mar 30, 2020 (2 updates tracked since 2020).

About Karen Leigh Holdsworth Np NPPES

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

KAREN LEIGH HOLDSWORTH NP (NPI 1104454842) is an individual nurse practitioner in Graham, North Carolina, licensed in North Carolina (5015117) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Alamance Regional Medical Center, and maintains a secondary practice location in Woodbridge.

NPPES Registry Identity

NPI1104454842
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN LEIGH HOLDSWORTHCredential: NP
Location Address214 E ELM STGraham, NC 27253-3022
Mailing Address2604 River Basin LnWoodbridge, VA 22191-6379 · (301) 934-2365
Phone(336) 226-2448
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 30, 2020
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1104454842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NC · 5015117✔ Licensed in VA · 0024179078
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
214 E ELM ST, Graham, NC 27253
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Secondary Practice Location 1

Location 12280 Opitz Blvd Ste 250Woodbridge, VA 22191-3362 · Phone (301) 934-2365

Other Identifiers 1

Other0024179078VA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Leigh Holdsworth Np 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 ID2860823226
PECOS Enrollment IDI20211217000484
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.

Areas of Expertise CMS Part B claims 3

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.
91 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Alamance Regional Medical Center

Acute Care Hospitals · Burlington, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340070
Location1240 Huffman Mill RdBurlington, NC 27216 · Alamance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27253 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims45 services$6.18 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 10

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

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
214 E ELM ST
GRAHAM, NC 27253
Alamance County (336) 792-4962
MEGAN P. JOHNSON DO
Family Medicine
214 E ELM ST
GRAHAM, NC 27253
Alamance County (336) 226-2448
MRS. JOLENE TADZIA CANNADY AGPCNP-C
Nurse Practitioner
214 E ELM ST
GRAHAM, NC 27253
Alamance County (336) 226-2448
CRISSMAN FAMILY PRACTICE
Nurse Practitioner (Family)
214 E ELM ST
GRAHAM, NC 27253
Alamance County (336) 226-2448
ALISON RUMBALL
Family Medicine
214 E ELM ST
GRAHAM, NC 27253
Alamance County (336) 226-2448
DR. MARK ANDERS CRISSMAN M.D.
Family Medicine
214 E ELM ST
GRAHAM, NC 27253
Alamance County (336) 226-2448
ARMC PHYSICIANS CARE, INC.
Family Medicine
214 E ELM ST
GRAHAM, NC 27253
Alamance County (336) 266-2448
MS. CHERYL A WICKER FNP
Nurse Practitioner (Family)
214 E ELM ST
GRAHAM, NC 27253
Alamance County (336) 226-2448

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 Karen Holdsworth's NPI number?

The NPI number for Karen Holdsworth is 1104454842. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Karen Holdsworth located?

Karen Holdsworth practices at 214 E Elm St, Graham, NC 27253. The listed phone number is (336) 226-2448.

What is Karen Holdsworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Holdsworth enrolled in Medicare?

Yes. Karen Holdsworth 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.

What insurance does Karen Holdsworth accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Karen Holdsworth 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 Karen Holdsworth affiliated with any hospitals?

According to CMS data, Karen Holdsworth is affiliated with Alamance Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Holdsworth was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.