CANDICE J HOLDER PMHNP
NPI 1376976530
Nurse Practitioner - Psychiatric/Mental Health in Rockford, IL

Q: What is Candice Holder's NPI number?

The NPI number for Candice Holder is 1376976530. It was assigned to this individual provider in the NPPES registry on August 12, 2013.

Q: What is Candice Holder'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 Candice Holder was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 12, 2013PECOS EnrolledAccepts Medicare Assignment

1639 N ALPINE RD STE 260, ROCKFORD, IL 61107(815) 395-1500 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Candice J Holder Pmhnp NPPES

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

CANDICE J HOLDER PMHNP (NPI 1376976530) is an individual psychiatric/mental health provider in Rockford, Illinois, licensed in Illinois (209018392) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376976530

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCANDICE J HOLDERCredential: PMHNP

Location Address1639 N ALPINE RD STE 260Rockford, IL 61107-1481

Mailing Address1639 N Alpine Rd Ste 260Rockford, IL 61107-1481 · (815) 395-1500

Phone(815) 395-1500

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 12, 2013

Last NPPES UpdateJuly 26, 2023

NPPES CertifiedJuly 26, 2023

✔ NPI 1376976530 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 IL · 209018392

1639 N ALPINE RD STE 260, Rockford, IL 61107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans, Providence Health Plan, Quartz and more.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

Candice J Holder Pmhnp 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 ID9032353206

PECOS Enrollment IDI20190730000172

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 3

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.

250 services44 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

149 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 10

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

MISTY LYNN DEHAVEN APN

Nurse Practitioner (Family)