Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RUTH RENEE HOLLEY APN
NPI 1396107587
Nurse Practitioner - Family in Girard, IL

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
205 S 3RD ST, GIRARD, IL 62640(217) 627-2222 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 24, 2026, Feb 18, 2022, Mar 25, 2016 (3 updates tracked since 2016).

About Ruth Renee Holley Apn NPPES

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

RUTH RENEE HOLLEY APN (NPI 1396107587) is an individual family provider in Girard, Illinois, licensed in Illinois (209.014088) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Carlinville Area Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396107587
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRUTH RENEE HOLLEYCredential: APN
Location Address205 S 3RD STGirard, IL 62640-1547
Mailing Address20733 N Broad StCarlinville, IL 62626-1499 · (217) 854-3141
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 25, 2016
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
NPI 1396107587 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 IL · 209.014088
205 S 3RD ST, Girard, IL 62640

Secondary Practice Locations 2

Location 1807 Broadway StGillespie, IL 62033-1100 · Phone (217) 854-3851 · Fax (217) 839-1313
Location 220613 N Broad St Ste BCarlinville, IL 62626-3721 · Phone (217) 854-3881

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

Ruth Renee Holley Apn 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 ID9931499944
PECOS Enrollment IDI20160603000714
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

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.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141347
Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62640 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

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.

Nurse Practitioner (Family)
205 S 3RD ST
GIRARD, IL 62640
Nurse Practitioner
205 S 3RD ST
GIRARD, IL 62640
Clinic/Center (Rural Health)
205 S 3RD ST
GIRARD, IL 62640

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 Ruth Holley's NPI number?

The NPI number for Ruth Holley is 1396107587. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Ruth Holley located?

Ruth Holley practices at 205 S 3rd St, Girard, IL 62640. The listed phone number is (217) 627-2222.

What is Ruth Holley's specialty?

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

Is Ruth Holley enrolled in Medicare?

Yes. Ruth Holley 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.

Is Ruth Holley affiliated with any hospitals?

According to CMS data, Ruth Holley is affiliated with Carlinville Area Hospital.

When was this NPI record last updated?

The NPPES record for Ruth Holley was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.