MRS. JENNIFER ASHLEY GOOCH HOLMES FNP-C
NPI 1114574191
Nurse Practitioner - Family in Terre Haute, IN
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, is affiliated with Sullivan County Community Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Holmes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Terre Haute, IN 47807
- Reassigned Medicare billing, Indiana enrollment
- 306 clinicians in this Medicare group
Sullivan, IN 47882
- Reassigned Medicare billing, Indiana enrollment
- Also billed through NPI 1497363303 (Indiana), NPI 1497759260 (Indiana)
- 18 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sullivan County Community Hospital
Critical Access Hospitals · Sullivan, INPhysician 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TERRE HAUTE, IN 47807
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 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.
Where is Jennifer Holmes located?
Jennifer Holmes practices at 110 Crawford St, Terre Haute, IN 47807. The listed phone number is (812) 220-4755.
What is Jennifer Holmes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Holmes enrolled in Medicare?
Yes. Jennifer Holmes 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 Jennifer Holmes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Holmes reassigns Medicare benefits to 2 organizations: Union Associated Physicians Clinic, LLC (Terre Haute, IN) and Sullivan County Community Hospital (Sullivan, IN). 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 Jennifer Holmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Holmes accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jennifer Holmes 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 Jennifer Holmes affiliated with any hospitals?
According to CMS data, Jennifer Holmes is affiliated with Sullivan County Community Hospital.
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 7 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.
# Mrs. Jennifer Ashley Gooch Holmes, FNP-C · NPI 1114574191
Family physician in Terre Haute, Indiana. Individual provider, active in the CMS NPPES registry since August 23, 2019.
## Identity
- **NPI:** 1114574191 (Entity type: Individual)
- **Enumerated:** August 23, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71009260A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 CRAWFORD ST, Terre Haute, IN 47807-4614
- **Phone:** (812) 220-4755
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Union Associated Physicians Clinic, LLC (NPI 1891028379, Terre Haute, IN); Sullivan County Community Hospital (NPI 1447805965, Sullivan, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114574191) · Data from the CMS NPPES public registry.