MRS. AMANDA JO HOLDER
NPI 1194564211
Nurse Practitioner in Somerset, KY
About Mrs. Amanda Jo Holder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMANDA JO HOLDER (NPI 1194564211) is an individual nurse practitioner in Somerset, Kentucky, licensed in Kentucky (4026740) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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. Amanda Jo Holder 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 Amanda Holder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somerset, KY 42503
- Reassigned Medicare billing, Kentucky enrollment
- 89 clinicians in this Medicare group
Somerset, KY 42503
- Reassigned Medicare billing, Kentucky enrollment
- 78 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Cumberland Regional Hospital
Acute Care Hospitals · Somerset, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42503 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOMERSET, KY 42503
SOMERSET, KY 42503
SOMERSET, KY 42503
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 Amanda Holder's NPI number?
The NPI number for Amanda Holder is 1194564211. It was assigned to this individual provider in the NPPES registry on May 20, 2024.
Where is Amanda Holder located?
Amanda Holder practices at 305 Langdon St, Somerset, KY 42503. The listed phone number is (606) 679-7441.
What is Amanda Holder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Amanda Holder enrolled in Medicare?
Yes. Amanda Holder 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 Amanda Holder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Holder reassigns Medicare benefits to 2 organizations: Lake Cumberland Regional Hospital LLC (Somerset, KY) and Lake Cumberland Physician Practices, LLC (Somerset, KY). 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 Amanda Holder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Holder accept?
Health plans from Anthem Blue Cross and Blue Shield list Amanda Holder 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 Amanda Holder affiliated with any hospitals?
According to CMS data, Amanda Holder is affiliated with Lake Cumberland Regional Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Holder was last updated on August 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Amanda Jo Holder · NPI 1194564211
Nurse Practitioner physician in Somerset, Kentucky. Individual provider, active in the CMS NPPES registry since May 20, 2024.
## Identity
- **NPI:** 1194564211 (Entity type: Individual)
- **Enumerated:** May 20, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4026740 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 LANGDON ST, Somerset, KY 42503-2750
- **Phone:** (606) 679-7441
## 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): Lake Cumberland Regional Hospital LLC (NPI 1023155462, Somerset, KY); Lake Cumberland Physician Practices, LLC (NPI 1730489840, Somerset, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194564211) · Data from the CMS NPPES public registry.