ELLEN GRACE HOLTON
NPI 1497504054
Nurse Practitioner - Family in Oklahoma City, OK
About Ellen Grace Holton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN GRACE HOLTON (NPI 1497504054) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (219698) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Integris Southwest Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ellen Grace Holton 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 Reassignment
Medicare enrollment records show Ellen Holton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73139
- Reassigned Medicare billing, Oklahoma enrollment
- 117 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.
Integris Southwest Medical Center
Acute Care Hospitals · Oklahoma City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73139 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73139
OKLAHOMA CITY, OK 73139
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 Ellen Holton's NPI number?
The NPI number for Ellen Holton is 1497504054. It was assigned to this individual provider in the NPPES registry on May 16, 2024.
Where is Ellen Holton located?
Ellen Holton practices at 1025 Straka Ter, Oklahoma City, OK 73139. The listed phone number is (405) 632-6688.
What is Ellen Holton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ellen Holton enrolled in Medicare?
Yes. Ellen Holton 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 organization bills Medicare for Ellen Holton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Holton reassigns Medicare benefits to Variety Care, Inc (Oklahoma City, OK). The 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 Ellen Holton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Holton accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ellen Holton 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.
Is Ellen Holton affiliated with any hospitals?
According to CMS data, Ellen Holton is affiliated with Integris Southwest Medical Center.
When was this NPI record last updated?
The NPPES record for Ellen Holton was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ellen Grace Holton · NPI 1497504054
Family physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since May 16, 2024.
## Identity
- **NPI:** 1497504054 (Entity type: Individual)
- **Enumerated:** May 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 219698 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1025 STRAKA TER, Oklahoma City, OK 73139-2544
- **Phone:** (405) 632-6688
## 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:** Variety Care, Inc (NPI 1316334188, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497504054) · Data from the CMS NPPES public registry.