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

Active since August 13, 2018PECOS Enrolled
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: August 09, 2026.

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

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 and maintains a secondary practice location in Roan Mountain.

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
Fax(423) 743-0035
Sole ProprietorNo
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Dawn Holtsclaw Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Nurse Practitioner (Family)
1826 N MAIN AVE
ERWIN, TN 37650
Nurse Practitioner (Family)
1826 N MAIN AVE
ERWIN, TN 37650
Clinic/Center (Federally Qualified Health Center (FQHC))
1826 N MAIN AVE
ERWIN, TN 37650
Nurse Practitioner (Family)
1826 N MAIN AVE
ERWIN, TN 37650
Physician Assistant
1826 N MAIN AVE
ERWIN, TN 37650
Nurse Practitioner (Family)
1826 N MAIN AVE
ERWIN, TN 37650
Physician Assistant
1826 N MAIN AVE
ERWIN, TN 37650

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 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.

Where is Kimberly Holtsclaw located?

Kimberly Holtsclaw practices at 1826 N Main Ave, Erwin, TN 37650. The listed phone number is (423) 743-6135.

What is Kimberly Holtsclaw's specialty?

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

Is Kimberly Holtsclaw enrolled in Medicare?

Yes. Kimberly Holtsclaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Holtsclaw was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.