LE'DITA Y HOLDER CRNA
NPI 1659367324
Nurse Anesthetist, Certified Registered in Jackson, TN

Q: What is Le'dita Holder's NPI number?

The NPI number for Le'dita Holder is 1659367324. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Q: What is Le'dita Holder's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Le'dita Holder was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 27, 2005Accepts Medicare Assignment

810 W FOREST AVE, JACKSON, TN 38301(731) 668-1853(731) 664-7731 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Le'dita Y Holder Crna NPPES

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

LE'DITA Y HOLDER CRNA (NPI 1659367324) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (83523) and active in the NPI registry since September 2005. She is affiliated with Jackson-madison County General Hospital and is a graduate of Other (1996).

NPPES Registry Identity

NPI1659367324

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLE'DITA Y HOLDERCredential: CRNA

Location Address810 W FOREST AVEJackson, TN 38301-3942

Mailing Address810 W Forest AveJackson, TN 38301-3942 · (731) 668-1853 · Fax (731) 664-7731

Phone(731) 668-1853

Fax(731) 664-7731

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateSeptember 27, 2005

Last NPPES UpdateFebruary 14, 2012

✔ NPI 1659367324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 83523

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

810 W FOREST AVE, Jackson, TN 38301

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Other Identifiers 4

Medicaid3624977TN

Medicare PIN3629080TN

Medicare PINP00256141TN

Medicare PIN36249771TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Le'dita Y Holder Crna 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 ID9830156322

PECOS Enrollment IDI20041216000263

Medicare Billing Reassignment

Medicare enrollment records show Le'dita Holder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Center Anesthesia Inc.

0.3 mi

Anesthesiology

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
190 clinicians in this Medicare group

NPI 1447591730 (833) 500-9913

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

31 services29 patients

Anesthesia for procedure on anus and rectum 00902

Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 15

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

CARDIAC ANESTHESIA GROUP

Anesthesiology (Pain Medicine)