JUSTINE HOLTHAUS
NPI 1316412174
Nurse Practitioner - Psychiatric/Mental Health in Middletown, OH

Active since October 09, 2018PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
6147 STATE ROUTE 122 STE 200, MIDDLETOWN, OH 45005(937) 490-2090 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1316412174
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTINE HOLTHAUS
Location Address6147 STATE ROUTE 122 STE 200Middletown, OH 45005-5201
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 9, 2018
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1316412174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.023492
6147 STATE ROUTE 122 STE 200, Middletown, OH 45005

Other Names 1

Former Name (1)Justine Edwards

Secondary Practice Location 1

Location 14100 W 3rd StDayton, OH 45428-9000 · Phone (937) 268-6511 ext. 2282

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

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.

PECOS PAC ID3971920281
PECOS Enrollment IDI20200901003026
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services13 patients

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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

Family Medicine
6147 STATE ROUTE 122 STE 200
MIDDLETOWN, OH 45005
Family Medicine
6147 STATE ROUTE 122 STE 200
MIDDLETOWN, OH 45005
Nurse Practitioner (Family)
6147 STATE ROUTE 122 STE 200
MIDDLETOWN, OH 45005
Social Worker (Clinical)
6147 STATE ROUTE 122 STE 200
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.

What insurance does Justine Holthaus accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource 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.