MRS. JENNIFER ASHLEY GOOCH HOLMES FNP-C
NPI 1114574191
Nurse Practitioner - Family in Terre Haute, IN

Q: What is Jennifer Holmes's NPI number?

The NPI number for Jennifer Holmes is 1114574191. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Q: What is Jennifer Holmes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Holmes was last updated on August 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.

Active since August 23, 2019PECOS EnrolledAccepts Medicare Assignment

110 CRAWFORD ST, TERRE HAUTE, IN 47807(812) 220-4755 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Jennifer Ashley Gooch Holmes Fnp-c NPPES

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

MRS. JENNIFER ASHLEY GOOCH HOLMES FNP-C (NPI 1114574191) is an individual family provider in Terre Haute, Indiana, licensed in Indiana (71009260A) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1114574191

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JENNIFER ASHLEY GOOCH HOLMESCredential: FNP-C

Location Address110 CRAWFORD STTerre Haute, IN 47807-4614

Mailing Address2357 E State Road 48Shelburn, IN 47879-8084

Phone(812) 220-4755

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 23, 2019

✔ NPI 1114574191 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 IN · 71009260A

110 CRAWFORD ST, Terre Haute, IN 47807

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mrs. Jennifer Ashley Gooch Holmes Fnp-c 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 ID42609836

PECOS Enrollment IDI20211117000441

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

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 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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47807 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

MILLIE KOOISTRA

Nurse Practitioner (Family)