KENNETH LYLE HOLLAND APRN
NPI 1679327266
Nurse Practitioner - Psychiatric/Mental Health in Broadview, IL
About Kenneth Lyle Holland Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH LYLE HOLLAND APRN (NPI 1679327266) is an individual psychiatric/mental health provider in Broadview, Illinois, licensed in Illinois (209029961) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Kenneth Lyle Holland Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Holland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Joliet, IL 60433
- Reassigned Medicare billing, Illinois enrollment
- 14 clinicians in this Medicare group
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 60155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kenneth Holland's NPI number?
The NPI number for Kenneth Holland is 1679327266. It was assigned to this individual provider in the NPPES registry on April 11, 2024.
Where is Kenneth Holland located?
Kenneth Holland practices at 2325 S 18th Ave, Broadview, IL 60155. The listed phone number is (773) 706-5802.
What is Kenneth Holland's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kenneth Holland enrolled in Medicare?
Yes. Kenneth Holland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kenneth Holland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Holland reassigns Medicare benefits to Matrix Mental Health Ltd (Joliet, IL). The 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 Kenneth Holland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Holland accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kenneth Holland 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 Kenneth Holland was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kenneth Lyle Holland, APRN · NPI 1679327266
Psychiatric/Mental Health physician in Broadview, Illinois. Individual provider, active in the CMS NPPES registry since April 11, 2024.
## Identity
- **NPI:** 1679327266 (Entity type: Individual)
- **Enumerated:** April 11, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209029961 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2325 S 18TH AVE, Broadview, IL 60155-3927
- **Phone:** (773) 706-5802
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Matrix Mental Health Ltd (NPI 1467212860, Joliet, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679327266) · Data from the CMS NPPES public registry.