RUTH RENEE HOLLEY APN
NPI 1396107587
Nurse Practitioner - Family in Girard, IL
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Ruth Holley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Virden, IL 62690
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1053425124 (Illinois)
- 78 clinicians in this Medicare group
Springfield, IL 62781
- Reassigned Medicare billing, Illinois enrollment
- 141 clinicians in this Medicare group
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.
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, ILPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Ruth Holley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruth Holley reassigns Medicare benefits to 2 organizations: Carlinville Area Hospital Association (Virden, IL) and Midwest Emergency Department Specialists Ltd (Springfield, IL). Each 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 Ruth Holley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ruth Holley accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Ruth Holley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 2 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.
# Ruth Renee Holley, APN · NPI 1396107587
Family physician in Girard, Illinois. Individual provider, active in the CMS NPPES registry since March 25, 2016.
## Identity
- **NPI:** 1396107587 (Entity type: Individual)
- **Enumerated:** March 25, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.014088 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 205 S 3RD ST, Girard, IL 62640-1547
- **Phone:** (217) 627-2222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carlinville Area Hospital Association (NPI 1447691571, Virden, IL); Midwest Emergency Department Specialists Ltd (NPI 1245263367, Springfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396107587) · Data from the CMS NPPES public registry.