MR. MICHAEL LASHANE HOLT APRN
NPI 1629728464
Family Medicine - Addiction Medicine in Tahlequah, OK

Q: What is Michael Holt's NPI number?

The NPI number for Michael Holt is 1629728464. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Michael Holt's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Michael Holt was last updated on March 29, 2022. 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 March 25, 2022PECOS Enrolled

1400 E DOWNING ST, TAHLEQUAH, OK 74464(918) 458-2444 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Michael Lashane Holt Aprn NPPES

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

MR. MICHAEL LASHANE HOLT APRN (NPI 1629728464) is an individual addiction medicine provider in Tahlequah, Oklahoma, licensed in Oklahoma (205318) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629728464

Entity TypeIndividualMale

Primary Taxonomy207QA0401X

Provider Legal NameMR. MICHAEL LASHANE HOLTCredential: APRN

Location Address1400 E DOWNING STTahlequah, OK 74464-3324

Mailing Address11024 W 835 RdFort Gibson, OK 74434-6340 · (918) 616-1111

Phone(918) 458-2444

Sole ProprietorNo

Enumeration DateMarch 25, 2022

Last NPPES UpdateMarch 29, 2022

NPPES CertifiedMarch 29, 2022

✔ NPI 1629728464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in OK · 205318

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

1400 E DOWNING ST, Tahlequah, OK 74464

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Lashane Holt Aprn 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 74464 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 20

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

NORTHEASTERN HEALTH SYSTEM

General Acute Care Hospital