KELLY L HOLT NP
NPI 1407006828
Nurse Practitioner - Family in Mattoon, IL

Active since September 22, 2008PECOS EnrolledAccepts Medicare Assignment
2512 HURST DR., MATTOON, IL 61938(217) 258-5900(217) 258-5904 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly L Holt Np NPPES

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

KELLY L HOLT NP (NPI 1407006828) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209007570) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1407006828
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY L HOLTCredential: NP
Location Address2512 HURST DR.Mattoon, IL 61938-9388
Mailing Address611 W. Park St., BwpcUrbana, IL 61801-2500 · (217) 383-6792
Fax(217) 258-5904
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 22, 2008
Last NPPES UpdateNovember 26, 2014
NPI 1407006828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209007570
Also ListedRegistered NurseTaxonomy 163W00000X · License 041-335540 (IL)
2512 HURST DR., Mattoon, IL 61938

Other Names 1

Former Name (1)Kelly L. Cunico

Other Identifiers 1

Medicare PIN208905638IL

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

Kelly L Holt Np 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 ID5597933770
PECOS Enrollment IDI20110713000513
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 61938 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 4

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

Pediatrics
2512 HURST DR.
MATTOON, IL 61938
Nurse Practitioner (Family)
2512 HURST DR.
MATTOON, IL 61938
Family Medicine
2512 HURST DR., FAMILY MEDICINE
MATTOON, IL 61938
Family Medicine
2512 HURST DR.
MATTOON, IL 61938

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 Kelly Holt's NPI number?

The NPI number for Kelly Holt is 1407006828. It was assigned to this individual provider in the NPPES registry on September 22, 2008. The provider is also known as Kelly L. Cunico.

Where is Kelly Holt located?

Kelly Holt practices at 2512 Hurst Dr., Mattoon, IL 61938. The listed phone number is (217) 258-5900.

What is Kelly Holt's specialty?

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

Is Kelly Holt enrolled in Medicare?

Yes. Kelly Holt 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.

When was this NPI record last updated?

The NPPES record for Kelly Holt was last updated on November 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.