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KYLE JOSEPH HOLDER FNP-BC
NPI 1386389815
Nurse Practitioner in Crystal Lake, IL

Active since April 29, 2022PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
360 STATION DR STE 300, CRYSTAL LAKE, IL 60014(815) 455-1800(815) 455-1875 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2022, Apr 29, 2022 (2 updates tracked since 2022).

About Kyle Joseph Holder Fnp-bc NPPES

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

KYLE JOSEPH HOLDER FNP-BC (NPI 1386389815) is an individual nurse practitioner in Crystal Lake, Illinois, licensed in Illinois (209031072) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Saint Louis University School Of Medicine (2021).

NPPES Registry Identity

NPI1386389815
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKYLE JOSEPH HOLDERCredential: FNP-BC
Location Address360 STATION DR STE 300Crystal Lake, IL 60014-8003
Mailing Address360 Station Dr Ste 300Crystal Lake, IL 60014-8003 · (815) 455-1800 · Fax (815) 455-1875
Phone(815) 455-1800
Fax(815) 455-1875
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2021
Enumeration DateApril 29, 2022
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1386389815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209031072
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2022015229 (MO)
360 STATION DR STE 300, Crystal Lake, IL 60014
Open in Google Maps ↗

Other Identifiers 1

Other2022015229MO · Aprn License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Joseph Holder Fnp-bc 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 ID2567841810
PECOS Enrollment IDI20241203001041
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 Reassignment

Medicare enrollment records show Kyle Holder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwestern Medical Faculty Foundation
13 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
21 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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.

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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 7

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

JESSICA WOLF MD
Psychiatry & Neurology (Neurology)
360 STATION DR STE 300
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-1800
DR. RAMADAN HAMMOUD M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
360 STATION DR STE 300
CRYSTAL LAKE, IL 60014
McHenry County (815) 344-3900
DR. NICOLE MARIE GARCIA PSYD
Clinical Neuropsychologist
360 STATION DR STE 300
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-1800
SONYA RYGIELSKI MD
Anesthesiology (Pain Medicine)
360 STATION DR STE 300
CRYSTAL LAKE, IL 60014
McHenry County (847) 802-7070
KIMBERLEY A BENTELE APRN, CNP
Nurse Practitioner
360 STATION DR STE 300
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-1800
SUHAIL MAGDI SAAD-OMER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
360 STATION DR STE 300
CRYSTAL LAKE, IL 60014
McHenry County (815) 344-3900
DR. JESSE E. TABER MD
Psychiatry & Neurology (Neurology)
360 STATION DR STE 300
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-1800

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 Kyle Holder's NPI number?

The NPI number for Kyle Holder is 1386389815. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Kyle Holder located?

Kyle Holder practices at 360 Station Dr Ste 300, Crystal Lake, IL 60014. The listed phone number is (815) 455-1800.

What is Kyle Holder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kyle Holder enrolled in Medicare?

Yes. Kyle Holder 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.

Which organization bills Medicare for Kyle Holder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Holder reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Holder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kyle Holder affiliated with any hospitals?

According to CMS data, Kyle Holder is affiliated with Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Holder was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.