HOLLY KINGERY PA
NPI 1609435304
Physician Assistant in Westfield, IN

Q: What is Holly Kingery's NPI number?

The NPI number for Holly Kingery is 1609435304. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Q: What is Holly Kingery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Kingery was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment

17600 SHAMROCK BLVD, WESTFIELD, IN 46074(317) 214-5468(317) 214-5469 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, Dec 7, 2021, Sep 21, 2020 and 2 more (5 updates tracked since 2019).

On this page

About Holly Kingery Pa NPPES

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

HOLLY KINGERY PA (NPI 1609435304) is an individual physician assistant in Westfield, Indiana, licensed in Indiana (10002749A) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609435304

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHOLLY KINGERYCredential: PA

Location Address17600 SHAMROCK BLVDWestfield, IN 46074-7002

Mailing AddressPo Box 843022Kansas City, MO 64184-3022 · (317) 770-6900 · Fax (317) 770-6911

Phone(317) 214-5468

Fax(317) 214-5469

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 7, 2019

Last NPPES UpdateOctober 11, 20245 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1609435304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10002749A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

17600 SHAMROCK BLVD, Westfield, IN 46074

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Other Identifiers 1

Medicaid300029147IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Kingery Pa 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 ID3678800414

PECOS Enrollment IDI20190816000338

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Health

Acute Care Hospitals · Noblesville, IN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150059

Location395 Westfield RdNoblesville, IN 46060 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46074 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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

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

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

1 supplier12 claims12 services$64.12 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 11

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

ALISON AGUILAR MD

Family Medicine