HOLLY PERTL
NPI 1245189000
Nurse Practitioner - Family in New Albany, IN
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 and is a graduate of Other (2025).
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
Holly Pertl 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 Reassignment
Medicare enrollment records show Holly Pertl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40216
- Reassigned Medicare billing, Indiana and Kentucky enrollments
- 3 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 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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Holly Pertl's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Pertl reassigns Medicare benefits to Brooks Family Medical LLC (Louisville, KY). 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 Holly Pertl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Pertl accept?
Health plans from Anthem Blue Cross and Blue Shield list Holly Pertl 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 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 4 months 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.
# Holly Pertl · NPI 1245189000
Family physician in New Albany, Indiana. Individual provider, active in the CMS NPPES registry since January 26, 2026.
## Identity
- **NPI:** 1245189000 (Entity type: Individual)
- **Enumerated:** January 26, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4052375 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 MACK DR, New Albany, IN 47150-6515
- **Phone:** (502) 648-9660
## 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:** Brooks Family Medical LLC (NPI 1659058261, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245189000) · Data from the CMS NPPES public registry.