MRS. DEANNA MOORE HOLTMAN N.P.
NPI 1619075959
Nurse Practitioner - Family in Syracuse, NY

Q: What is Deanna Holtman's NPI number?

The NPI number for Deanna Holtman is 1619075959. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Deanna Holtman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deanna Holtman was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 20, 2006PECOS Enrolled

739 IRVING AVE STE 450, SYRACUSE, NY 13210(315) 470-7364(315) 378-0828 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Deanna Moore Holtman N.p. NPPES

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

MRS. DEANNA MOORE HOLTMAN N.P. (NPI 1619075959) is an individual family provider in Syracuse, New York, licensed in New York (333728) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619075959

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. DEANNA MOORE HOLTMANCredential: N.P.

Location Address739 IRVING AVE STE 450Syracuse, NY 13210-1663

Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866 · (315) 937-3433 · Fax (315) 464-6238

Phone(315) 470-7364

Fax(315) 378-0828

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateSeptember 1, 2021

NPPES CertifiedSeptember 1, 2021

✔ NPI 1619075959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 333728

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 288542-1 (NY)

739 IRVING AVE STE 450, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Deanna Moore Holtman N.p. 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 13210 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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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.

KRISTINA MARIE BRECKENRIDGE PA

Physician Assistant