TERESA JUNTILLA HOLMES PMHNP
NPI 1699582122
Nurse Practitioner - Psychiatric/Mental Health in Hope Mills, NC

Q: What is Teresa Holmes's NPI number?

The NPI number for Teresa Holmes is 1699582122. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Q: What is Teresa Holmes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Holmes was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since December 17, 2024PECOS Enrolled

3077 N MAIN ST STE 201, HOPE MILLS, NC 28348(910) 275-5766(866) 990-0668 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Teresa Juntilla Holmes Pmhnp NPPES

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

TERESA JUNTILLA HOLMES PMHNP (NPI 1699582122) is an individual psychiatric/mental health provider in Hope Mills, North Carolina, licensed in North Carolina (318175) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1699582122

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTERESA JUNTILLA HOLMESCredential: PMHNP

Location Address3077 N MAIN ST STE 201Hope Mills, NC 28348-1735

Mailing Address3116 Hampton Ridge RdFayetteville, NC 28311-3006 · (508) 566-4524

Phone(910) 275-5766

Fax(866) 990-0668

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 17, 2024

NPPES CertifiedDecember 17, 2024

✔ NPI 1699582122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 318175

3077 N MAIN ST STE 201, Hope Mills, NC 28348

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Juntilla Holmes Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153845433

PECOS Enrollment IDI20250408002246

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 Reassignment

Medicare enrollment records show Teresa Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Divine Wellness Therapeutic Center PLLC

Same address

Community/Behavioral Health

3077 N MAIN ST STE 201
Hope Mills, NC 28348

Reassigned Medicare billing, North Carolina enrollment
8 clinicians in this Medicare group

NPI 1578291308 (910) 275-5766

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 28348 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 9

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

REDEEM WELLNESS CENTER

Counselor (Mental Health)