ASHLEY HOLEN NP-C
NPI 1528519535
Nurse Practitioner - Family in Sioux Falls, SD
About Ashley Holen Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY HOLEN NP-C (NPI 1528519535) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001139) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Sioux Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ashley Holen Np-c 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 Ashley Holen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57103
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SIOUX FALLS, SD 57103
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 Ashley Holen's NPI number?
The NPI number for Ashley Holen is 1528519535. It was assigned to this individual provider in the NPPES registry on October 14, 2016.
Where is Ashley Holen located?
Ashley Holen practices at 4405 E 26th St, Sioux Falls, SD 57103. The listed phone number is (605) 332-2883.
What is Ashley Holen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ashley Holen enrolled in Medicare?
Yes. Ashley Holen 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 Ashley Holen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Holen reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). 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 Ashley Holen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashley Holen accept?
Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Ashley Holen 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 Ashley Holen affiliated with any hospitals?
According to CMS data, Ashley Holen is affiliated with Sanford Usd Medical Center.
When was this NPI record last updated?
The NPPES record for Ashley Holen was last updated on August 1, 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.
# Ashley Holen, NP-C · NPI 1528519535
Family physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since October 14, 2016.
## Identity
- **NPI:** 1528519535 (Entity type: Individual)
- **Enumerated:** October 14, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CP001139 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4405 E 26TH ST, Sioux Falls, SD 57103-4187
- **Phone:** (605) 332-2883
## 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): Sanford Clinic (NPI 1245248764, Sioux Falls, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528519535) · Data from the CMS NPPES public registry.