THELMA MICHELLE HOLT-NICHOLSON FNP-BC
NPI 1265830442
Nurse Practitioner - Family in Chicago, IL

Active since December 20, 2014PECOS EnrolledAccepts Medicare Assignment
1340 S DAMEN AVE, CHICAGO, IL 60608(877) 663-1333 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thelma Michelle Holt-nicholson Fnp-bc NPPES

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

THELMA MICHELLE HOLT-NICHOLSON FNP-BC (NPI 1265830442) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.012271) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265830442
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHELMA MICHELLE HOLT-NICHOLSONCredential: FNP-BC
Location Address1340 S DAMEN AVEChicago, IL 60608-1169
Mailing AddressP O Box 2114Matteson, IL 60443 · (877) 663-1333
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 20, 2014
Last NPPES UpdateJune 8, 2015
NPI 1265830442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.012271
1340 S DAMEN AVE, Chicago, IL 60608

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thelma Michelle Holt-nicholson Fnp-bc 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.

PECOS PAC ID5092033613
PECOS Enrollment IDI20150410002269
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
159 services92 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
116 services73 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier24 claims24 services$41.17 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier26 claims26 services$40.19 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$29.70 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers32 claims32 services$31.35 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers29 claims29 services$8.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1340 S DAMEN AVE
CHICAGO, IL 60608
Colon & Rectal Surgery
1340 S DAMEN AVE, SUITE 200
CHICAGO, IL 60608
Social Worker (Clinical)
1340 S DAMEN AVE
CHICAGO, IL 60608
Counselor (Professional)
1340 S DAMEN AVE, MEZZANINE SUITE C
CHICAGO, IL 60608
Social Worker
1340 S DAMEN AVE
CHICAGO, IL 60608
Social Worker (Clinical)
1340 S DAMEN AVE
CHICAGO, IL 60608
Nurse Practitioner
1340 S DAMEN AVE, STE 210
CHICAGO, IL 60608
Nurse Practitioner (Family)
1340 S DAMEN AVE, SUITE 210
CHICAGO, IL 60608

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 Thelma Holt-nicholson's NPI number?

The NPI number for Thelma Holt-nicholson is 1265830442. It was assigned to this individual provider in the NPPES registry on December 20, 2014.

Where is Thelma Holt-nicholson located?

Thelma Holt-nicholson practices at 1340 S Damen Ave, Chicago, IL 60608. The listed phone number is (877) 663-1333.

What is Thelma Holt-nicholson's specialty?

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

Is Thelma Holt-nicholson enrolled in Medicare?

Yes. Thelma Holt-nicholson 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.

What insurance does Thelma Holt-nicholson accept?

Health plans from Providence Health Plan list Thelma Holt-nicholson 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 Thelma Holt-nicholson was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.