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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HOLLY PERTL
NPI 1245189000
Nurse Practitioner - Family in New Albany, IN

Active since January 26, 2026PECOS Enrolled
111 MACK DR, NEW ALBANY, IN 47150(502) 648-9660 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holly Pertl NPPES

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

HOLLY PERTL (NPI 1245189000) is an individual family provider in New Albany, Indiana, licensed in Kentucky (4052375) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245189000
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY PERTL
Location Address111 MACK DRNew Albany, IN 47150-6515
Mailing Address111 Mack DrNew Albany, IN 47150-6515 · (502) 648-9660
Phone(502) 648-9660
Sole ProprietorNo
Enumeration DateJanuary 26, 2026
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1245189000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4052375
Also ListedNurse PractitionerTaxonomy 363L00000X · License 28262857A (IN)
111 MACK DR, New Albany, IN 47150
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Pertl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47150 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.

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 Holly Pertl's NPI number?

The NPI number for Holly Pertl is 1245189000. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Holly Pertl located?

Holly Pertl practices at 111 Mack Dr, New Albany, IN 47150. The listed phone number is (502) 648-9660.

What is Holly Pertl's specialty?

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

Is Holly Pertl enrolled in Medicare?

Yes. Holly Pertl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Pertl was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.