VICTORIA S HOLDEMAN
NPI 1376121848
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID

Active since March 29, 2021PECOS Enrolled
4311 E 65TH S, IDAHO FALLS, ID 83406(208) 970-2027 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Mar 29, 2021 (2 updates tracked since 2021).

About Victoria S Holdeman NPPES

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

VICTORIA S HOLDEMAN (NPI 1376121848) is an individual psychiatric/mental health provider in Idaho Falls, Idaho, licensed in Idaho (57304) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376121848
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameVICTORIA S HOLDEMAN
Location Address4311 E 65TH SIdaho Falls, ID 83406-8127
Mailing Address4311 E 65th SIdaho Falls, ID 83406-8127 · (208) 970-2027
Sole ProprietorYes
Enumeration DateMarch 29, 2021
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1376121848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in ID · 57304
Also ListedRegistered NurseTaxonomy 163W00000X · License 57304 (ID)
4311 E 65TH S, Idaho Falls, ID 83406

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Victoria S Holdeman 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 83406 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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 Victoria Holdeman's NPI number?

The NPI number for Victoria Holdeman is 1376121848. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Victoria Holdeman located?

Victoria Holdeman practices at 4311 E 65th S, Idaho Falls, ID 83406. The listed phone number is (208) 970-2027.

What is Victoria Holdeman's specialty?

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

Is Victoria Holdeman enrolled in Medicare?

Yes. Victoria Holdeman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Holdeman was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.