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

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: November 08, 2026.

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 Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Holt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeastern Health System
0.4 mi
General Acute Care Hospital
1400 E DOWNING ST
Tahlequah, OK 74464
  • Reassigned Medicare billing, Oklahoma enrollment
  • 159 clinicians in this Medicare group
NPI 1003865999 (918) 456-0641
Tahlequah Medical Group LLC
0.4 mi
Family Medicine
1400 E DOWNING ST
Tahlequah, OK 74464
  • Reassigned Medicare billing, Oklahoma enrollment
  • 42 clinicians in this Medicare group
NPI 1881960771 (918) 456-0641

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 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
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
MIDWEST HOSPITALISTS SERVICES PLLC
Hospitalist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
STUART AUSTIN KOAKAI CANO DO
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
STEPHAN M YOST PA-C
Physician Assistant (Medical)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
TAHLEQUAH CITY HOSPITAL
General Practice
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
SETH STEWART SCANTLING
Nurse Anesthetist, Certified Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
ROSS P. TURNER D.O.
Internal Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 456-0641
DR. STACIE ANN LARMON PHARMD
Pharmacist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Cherokee County (918) 718-5335

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 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.

Where is Michael Holt located?

Michael Holt practices at 1400 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 458-2444.

What is Michael Holt's specialty?

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

Is Michael Holt enrolled in Medicare?

Yes. Michael Holt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Holt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Holt reassigns Medicare benefits to 2 organizations: Northeastern Health System (Tahlequah, OK) and Tahlequah Medical Group LLC (Tahlequah, OK). 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 Michael Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Holt accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Michael Holt 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.

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.