MR. KELLY ANDREW HOLLAND APRN
NPI 1336860840
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Q: What is Kelly Holland's NPI number?

The NPI number for Kelly Holland is 1336860840. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Q: What is Kelly Holland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Holland was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 05, 2022PECOS Enrolled

100/100

CMS Quality Rating

645 S ROY WILKINS AVE STE 200, LOUISVILLE, KY 40203(502) 561-0520(502) 561-0521 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Kelly Andrew Holland Aprn NPPES

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

MR. KELLY ANDREW HOLLAND APRN (NPI 1336860840) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3018317) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336860840

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. KELLY ANDREW HOLLANDCredential: APRN

Location Address645 S ROY WILKINS AVE STE 200Louisville, KY 40203-2072

Mailing Address645 S Roy Wilkins Ave Ste 200Louisville, KY 40203-2072 · (502) 561-0520 · Fax (502) 561-0521

Phone(502) 561-0520

Fax(502) 561-0521

Sole ProprietorNo

Enumeration DateSeptember 5, 2022

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1336860840 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 KY · 3018317

645 S ROY WILKINS AVE STE 200, Louisville, KY 40203

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kelly Andrew Holland Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40203 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 3

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

ASAD E ISMAIL MD

Psychiatry & Neurology (Addiction Medicine)

645 S ROY WILKINS AVE STE 200
LOUISVILLE, KY 40203

Jefferson County (502) 561-0520

MRS. TRICIA LYNN PALMER APRN

Nurse Practitioner (Family)

645 S ROY WILKINS AVE STE 200
LOUISVILLE, KY 40203

Jefferson County (502) 561-0520

ANGELA M URHAMMER APRN

Nurse Practitioner (Gerontology)

645 S ROY WILKINS AVE STE 200
LOUISVILLE, KY 40203

Jefferson County (502) 561-0520

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 Kelly Holland's NPI number?

The NPI number for Kelly Holland is 1336860840. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Where is Kelly Holland located?

Kelly Holland practices at 645 S Roy Wilkins Ave Ste 200, Louisville, KY 40203. The listed phone number is (502) 561-0520.

What is Kelly Holland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Holland enrolled in Medicare?

Yes. Kelly Holland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Holland was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.