KELLY L HOLT NP
NPI 1407006828
Nurse Practitioner - Family in Mattoon, IL
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, is affiliated with Carle Hoopeston Regional Health Center, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Holt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Hoopeston, IL 60942
- Reassigned Medicare billing, Illinois enrollment
- 488 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carle Hoopeston Regional Health Center
Critical Access Hospitals · Hoopeston, ILPhysician 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.
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.
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.
Which organizations bill Medicare for Kelly Holt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Holt reassigns Medicare benefits to 2 organizations: Carle Health Medical Group (Urbana, IL) and Hoopeston Community Memorial Hospital (Hoopeston, 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 Kelly Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Holt affiliated with any hospitals?
According to CMS data, Kelly Holt is affiliated with Carle Hoopeston Regional Health Center.
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.
# Kelly L Holt, NP · NPI 1407006828
Family physician in Mattoon, Illinois. Individual provider, active in the CMS NPPES registry since September 22, 2008.
## Identity
- **NPI:** 1407006828 (Entity type: Individual)
- **Enumerated:** September 22, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209007570 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2512 HURST DR., Mattoon, IL 61938-9388
- **Phone:** (217) 258-5900 · **Fax:** (217) 258-5904
## 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): Carle Health Medical Group (NPI 1154653947, Urbana, IL); Hoopeston Community Memorial Hospital (NPI 1578504544, Hoopeston, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** November 26, 2014
- **Other identifiers:** Medicare PIN 208905638 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1407006828) · Data from the CMS NPPES public registry.