JESSICA HOLT NP
NPI 1255890075
Nurse Practitioner - Family in Murray, UT
About Jessica Holt Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA HOLT NP (NPI 1255890075) is an individual family provider in Murray, Utah, licensed in Utah (7859559-4405) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Holt Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Holt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Murray, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 1,729 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 84107 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 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MURRAY, UT 84107
MURRAY, UT 84107
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 Jessica Holt's NPI number?
The NPI number for Jessica Holt is 1255890075. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is Jessica Holt located?
Jessica Holt practices at 5171 S Cottonwood St Ste 210, Murray, UT 84107. The listed phone number is (801) 507-3380.
What is Jessica Holt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Holt enrolled in Medicare?
Yes. Jessica Holt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Holt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Holt reassigns Medicare benefits to Ihc Health Services Inc (Murray, UT). 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 Jessica Holt'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 Jessica Holt was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Jessica Holt, NP · NPI 1255890075
Family physician in Murray, Utah. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1255890075 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7859559-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5171 S COTTONWOOD ST STE 210, Murray, UT 84107-5718
- **Phone:** (801) 507-3380
## 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:** Ihc Health Services Inc (NPI 1306977798, Murray, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255890075) · Data from the CMS NPPES public registry.