KIMBERLY DAWN HOLTSCLAW FNP
NPI 1437638129
Nurse Practitioner - Family in Erwin, TN

Q: What is Kimberly Holtsclaw's NPI number?

The NPI number for Kimberly Holtsclaw is 1437638129. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Q: What is Kimberly Holtsclaw's specialty?

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

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment

1826 N MAIN AVE, ERWIN, TN 37650(423) 743-6135(423) 743-0035 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2019, Aug 13, 2018 (2 updates tracked since 2018).

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About Kimberly Dawn Holtsclaw Fnp NPPES

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

KIMBERLY DAWN HOLTSCLAW FNP (NPI 1437638129) is an individual family provider in Erwin, Tennessee, licensed in Tennessee (24568) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roan Mountain, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437638129

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY DAWN HOLTSCLAWCredential: FNP

Location Address1826 N MAIN AVEErwin, TN 37650-8932

Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920

Phone(423) 743-6135

Fax(423) 743-0035

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 13, 2018

Last NPPES UpdateJuly 12, 20192 updates tracked since enumeration

✔ NPI 1437638129 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 TN · 24568

1826 N MAIN AVE, Erwin, TN 37650

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Secondary Practice Location 1

Location 1152 Highway 143Roan Mountain, TN 37687-3002 · Phone (423) 772-3276 · Fax (423) 772-4816

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, UnitedHealthcare.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

Kimberly Dawn Holtsclaw Fnp 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 ID345591798

PECOS Enrollment IDI20180924001823

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Holtsclaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health Services Consortium Of Upper East Tennessee Inc

Same address

Federally Qualified Health Center (FQHC)

1826 N MAIN AVE
Erwin, TN 37650

Reassigned Medicare billing, Tennessee enrollment
48 clinicians in this Medicare group

NPI 1396745162 (423) 743-6135

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37650 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers22 claims22 services$15.98 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers36 claims36 services$82.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

ERIC NATHAN CARTER FNP-BC

Nurse Practitioner (Family)