ROCHELLE HOLTZCLAW
NPI 1356794713
Nurse Practitioner - Family in Kingsport, TN

Q: What is Rochelle Holtzclaw's NPI number?

The NPI number for Rochelle Holtzclaw is 1356794713. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Q: What is Rochelle Holtzclaw's specialty?

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

Active since July 20, 2016PECOS Enrolled

102 E RAVINE RD, KINGSPORT, TN 37660(423) 245-9600(423) 245-9634 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Rochelle Holtzclaw NPPES

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

ROCHELLE HOLTZCLAW (NPI 1356794713) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (APN21252) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356794713

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameROCHELLE HOLTZCLAW

Location Address102 E RAVINE RDKingsport, TN 37660-3814

Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 433-6039 · Fax (423) 433-6060

Phone(423) 245-9600

Fax(423) 245-9634

Sole ProprietorNo

Enumeration DateJuly 20, 2016

Last NPPES UpdateApril 18, 2018

✔ NPI 1356794713 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 TN · APN21252

102 E RAVINE RD, Kingsport, TN 37660

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rochelle Holtzclaw 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.

Medicare Billing Reassignments

Medicare enrollment records show Rochelle Holtzclaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates, Inc.

0.5 mi

Internal Medicine

111 W STONE DR, SUITE 110
Kingsport, TN 37660

Reassigned Medicare billing, Tennessee enrollment
861 clinicians in this Medicare group

NPI 1598124398 (423) 224-3701

Medical Education Assistance Corporation

17 mi

Internal Medicine

101 MED TECH PKWY STE 306
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee enrollment
341 clinicians in this Medicare group

NPI 1235180480 (423) 433-6039

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 37660 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

ABRAHAM LESNIEWSKI MD

Student in an Organized Health Care Education/Training Program