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ETHEL HOLDER PA
NPI 1396889127
Physician Assistant in Orlando, FL

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
1130 S SEMORAN BLVD STE B-C, ORLANDO, FL 32807(407) 382-1376(833) 450-5418 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 18, 2026, Dec 12, 2025, Jul 9, 2025 and 1 more (4 updates tracked since 2021).

About Ethel Holder Pa NPPES

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

ETHEL HOLDER PA (NPI 1396889127) is an individual physician assistant in Orlando, Florida, licensed in Florida (PA9109641) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1396889127
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameETHEL HOLDERCredential: PA
Location Address1130 S SEMORAN BLVD STE B-COrlando, FL 32807-1457
Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (407) 382-1376 · Fax (833) 450-5418
Phone(407) 382-1376
Fax(833) 450-5418
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMarch 18, 20264 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1396889127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA9109641✔ Licensed in NY · 009214
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1130 S SEMORAN BLVD STE B-C, Orlando, FL 32807
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Secondary Practice Location 1

Location 11501 S Semoran BlvdORLANDO, FL 32807-2919 · Phone (407) 587-7552 · Fax (833) 450-5422

Other Identifiers 1

Medicaid023157500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Ethel Holder Pa 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 ID8921276635
PECOS Enrollment IDI20180130002048
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 32807 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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

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

ORLANDO FAMILY PHYSICIANS, LLC
General Practice
1130 S SEMORAN BLVD STE B-C
ORLANDO, FL 32807
Orange County (407) 382-1376

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 Ethel Holder's NPI number?

The NPI number for Ethel Holder is 1396889127. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Ethel Holder located?

Ethel Holder practices at 1130 S Semoran Blvd Ste B-C, Orlando, FL 32807. The listed phone number is (407) 382-1376.

What is Ethel Holder's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ethel Holder enrolled in Medicare?

Yes. Ethel 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.

What insurance does Ethel Holder accept?

Health plans from AvMed list Ethel Holder 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.

When was this NPI record last updated?

The NPPES record for Ethel Holder was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.