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ROXANE LYNN HOLM PMHNP
NPI 1598042145
Nurse Practitioner - Psychiatric/Mental Health in Viroqua, WI

Active since November 10, 2011PECOS Enrolled
407 S MAIN ST STE 400, VIROQUA, WI 54665(608) 637-3174(608) 638-5038 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2021, Mar 1, 2021, Mar 5, 2020 and 6 more (9 updates tracked since 2017).

About Roxane Lynn Holm Pmhnp NPPES

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

ROXANE LYNN HOLM PMHNP (NPI 1598042145) is an individual psychiatric/mental health provider in Viroqua, Wisconsin, licensed in Wisconsin (5690) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598042145
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameROXANE LYNN HOLMCredential: PMHNP
Location Address407 S MAIN ST STE 400Viroqua, WI 54665-4000
Mailing Address407 S Main St Ste 400Viroqua, WI 54665-4000 · (608) 637-3174 · Fax (608) 638-5038
Phone(608) 637-3174
Fax(608) 638-5038
Sole ProprietorNo
Enumeration DateNovember 10, 2011
Last NPPES UpdateMay 18, 20219 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1598042145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 5690
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5690 (WI)
407 S MAIN ST STE 400, Viroqua, WI 54665
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roxane Lynn Holm Pmhnp 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.

Medicare Billing Reassignment

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

Vernon Memorial Healthcare, Inc
Same address
Rural Health
407 S MAIN ST, SUITE 400
Viroqua, WI 54665
  • Reassigned Medicare billing, Wisconsin enrollment
  • 49 clinicians in this Medicare group
NPI 1144226507 (608) 637-3174

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 54665 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 5

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

DR. PHOEBE DEVITT
Family Medicine
407 S MAIN ST STE 400
VIROQUA, WI 54665
Vernon County (608) 637-3174
MARTHA ARWEN KARLSTAD M.D.
Psychiatry & Neurology (Psychiatry)
407 S MAIN ST STE 400
VIROQUA, WI 54665
Vernon County (608) 637-3174
BONNIE L DAVIDSON MD
Family Medicine
407 S MAIN ST STE 400
VIROQUA, WI 54665
Vernon County (608) 637-3174
DEBRA MICHELLE GALLAGHER APNP
Nurse Practitioner (Family)
407 S MAIN ST STE 400
VIROQUA, WI 54665
Vernon County (608) 637-3174
MRS. REBECCA JANE LYLE CNM, FNP
Nurse Practitioner
407 S MAIN ST STE 400
VIROQUA, WI 54665
Vernon County (608) 637-3174

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 Roxane Holm's NPI number?

The NPI number for Roxane Holm is 1598042145. It was assigned to this individual provider in the NPPES registry on November 10, 2011.

Where is Roxane Holm located?

Roxane Holm practices at 407 S Main St Ste 400, Viroqua, WI 54665. The listed phone number is (608) 637-3174.

What is Roxane Holm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Roxane Holm enrolled in Medicare?

Yes. Roxane Holm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roxane Holm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roxane Holm reassigns Medicare benefits to Vernon Memorial Healthcare, Inc (Viroqua, WI). 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 Roxane Holm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roxane Holm was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.