MRS. KAYLA JOLLY HOLT FNP-C
NPI 1205557964
Nurse Practitioner - Family in Bolivar, TN
About Mrs. Kayla Jolly Holt Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KAYLA JOLLY HOLT FNP-C (NPI 1205557964) is an individual family provider in Bolivar, Tennessee, licensed in Tennessee (31775) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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. Kayla Jolly Holt 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
3Medicare enrollment records show Kayla Holt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37219
- Reassigned Medicare billing, Tennessee enrollment
- 44 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Tennessee enrollment
- 45 clinicians in this Medicare group
Maryville, TN 37804
- Reassigned Medicare billing, Tennessee enrollment
- 4 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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38008 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOLIVAR, TN 38008
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 Kayla Holt's NPI number?
The NPI number for Kayla Holt is 1205557964. It was assigned to this individual provider in the NPPES registry on September 9, 2022. The provider is also known as Kayla Cymone Jolly.
Where is Kayla Holt located?
Kayla Holt practices at 700 Nuckolls Rd, Bolivar, TN 38008. The listed phone number is (731) 394-1145.
What is Kayla Holt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kayla Holt enrolled in Medicare?
Yes. Kayla Holt 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 Kayla Holt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Holt reassigns Medicare benefits to 3 organizations: Ultra Health LLC (Nashville, TN), Ultra Health Providers II LLC (Nashville, TN) and Smoky Mountain Primary Care (Maryville, TN). 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 Kayla Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kayla Holt accept?
Health plans from Cigna Healthcare list Kayla Holt 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.
When was this NPI record last updated?
The NPPES record for Kayla Holt was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. Kayla Jolly Holt, FNP-C · NPI 1205557964
Family physician in Bolivar, Tennessee. Individual provider, active in the CMS NPPES registry since September 9, 2022.
## Identity
- **NPI:** 1205557964 (Entity type: Individual)
- **Enumerated:** September 9, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 31775 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 700 NUCKOLLS RD, Bolivar, TN 38008-1531
- **Phone:** (731) 394-1145
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Ultra Health LLC (NPI 1922469543, Nashville, TN); Ultra Health Providers II LLC (NPI 1033956057, Nashville, TN); Smoky Mountain Primary Care (NPI 1932602448, Maryville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205557964) · Data from the CMS NPPES public registry.