JUSTINE HOLTHAUS
NPI 1316412174
Nurse Practitioner - Psychiatric/Mental Health in Middletown, OH
About Justine Holthaus NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTINE HOLTHAUS (NPI 1316412174) is an individual psychiatric/mental health provider in Middletown, Ohio, licensed in Ohio (APRN.CNP.023492) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 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
Justine Holthaus 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
2Medicare enrollment records show Justine Holthaus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miamisburg, OH 45342
- Reassigned Medicare billing, Ohio enrollment
- 984 clinicians in this Medicare group
Beachwood, OH 44122
- Reassigned Medicare billing, Ohio enrollment
- 713 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
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 45005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDDLETOWN, OH 45005
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 Justine Holthaus's NPI number?
The NPI number for Justine Holthaus is 1316412174. It was assigned to this individual provider in the NPPES registry on October 9, 2018. The provider is also known as Justine Edwards.
Where is Justine Holthaus located?
Justine Holthaus practices at 6147 State Route 122 Ste 200, Middletown, OH 45005. The listed phone number is (937) 490-2090.
What is Justine Holthaus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Justine Holthaus enrolled in Medicare?
Yes. Justine Holthaus 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 Justine Holthaus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justine Holthaus reassigns Medicare benefits to 2 organizations: Kettering Independent Medical Group Inc (Miamisburg, OH) and Psychological & Behavioral Consultants, LLC (Beachwood, OH). 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 Justine Holthaus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justine Holthaus accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 5 other insurers list Justine Holthaus 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 Justine Holthaus was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Justine Holthaus · NPI 1316412174
Psychiatric/Mental Health physician in Middletown, Ohio. Individual provider, active in the CMS NPPES registry since October 9, 2018.
## Identity
- **NPI:** 1316412174 (Entity type: Individual)
- **Enumerated:** October 9, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN.CNP.023492 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6147 STATE ROUTE 122 STE 200, Middletown, OH 45005-5201
- **Phone:** (937) 490-2090
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Kettering Independent Medical Group Inc (NPI 1629387865, Miamisburg, OH); Psychological & Behavioral Consultants, LLC (NPI 1811915713, Beachwood, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1316412174) · Data from the CMS NPPES public registry.