MRS. MICHELINE COSTA HOLMES CRNP
NPI 1205405719
Nurse Practitioner - Family in Pocomoke City, MD
About Mrs. Micheline Costa Holmes Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICHELINE COSTA HOLMES CRNP (NPI 1205405719) is an individual family provider in Pocomoke City, Maryland, licensed in Maryland (R189395) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Micheline Costa Holmes Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Micheline Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seaford, DE 19973
- Reassigned Medicare billing, Delaware enrollment
- 179 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21851 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POCOMOKE CITY, MD 21851
POCOMOKE CITY, MD 21851
POCOMOKE CITY, MD 21851
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 Micheline Holmes's NPI number?
The NPI number for Micheline Holmes is 1205405719. It was assigned to this individual provider in the NPPES registry on June 18, 2021. The provider is also known as Ms. Micheline Aragao Costa.
Where is Micheline Holmes located?
Micheline Holmes practices at 305 10th St Ste 104, Pocomoke City, MD 21851. The listed phone number is (410) 957-0273.
What is Micheline Holmes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Micheline Holmes enrolled in Medicare?
Yes. Micheline Holmes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Micheline Holmes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micheline Holmes reassigns Medicare benefits to Tidalhealth Physician Network, Inc. (Seaford, DE). 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 Micheline Holmes'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 Micheline Holmes was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. Micheline Costa Holmes, CRNP · NPI 1205405719
Family physician in Pocomoke City, Maryland. Individual provider, active in the CMS NPPES registry since June 18, 2021.
## Identity
- **NPI:** 1205405719 (Entity type: Individual)
- **Enumerated:** June 18, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R189395 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 10TH ST STE 104, Pocomoke City, MD 21851-1607
- **Phone:** (410) 957-0273 · **Fax:** (410) 957-0152
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tidalhealth Physician Network, Inc. (NPI 1467534636, Seaford, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2021
- **Other identifiers:** Medicaid 119591300 (MD)
---
Source: [NPI Profile](https://npiprofile.com/npi/1205405719) · Data from the CMS NPPES public registry.