MIKKI BOOKHOLT FNP-BC
NPI 1730073297
Nurse Practitioner - Family in Ledgewood, NJ
About Mikki Bookholt Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKKI BOOKHOLT FNP-BC (NPI 1730073297) is an individual family provider in Ledgewood, New Jersey, licensed in New Jersey (26NJ15378800) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains a secondary practice location in Red Bank.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mikki Bookholt Fnp-bc 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 Reassignments
3Medicare enrollment records show Mikki Bookholt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 48 clinicians in this Medicare group
Newton, NJ 07860
- Reassigned Medicare billing, New Jersey enrollment
- 80 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 160 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morristown Medical Center
Acute Care Hospitals · Morristown, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEDGEWOOD, NJ 07852
LEDGEWOOD, NJ 07852
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 Mikki Bookholt's NPI number?
The NPI number for Mikki Bookholt is 1730073297. It was assigned to this individual provider in the NPPES registry on June 6, 2025. The provider is also known as Mikki Sebastian.
Where is Mikki Bookholt located?
Mikki Bookholt practices at 501 State Route 10, Ledgewood, NJ 07852. The listed phone number is (973) 584-6751.
What is Mikki Bookholt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mikki Bookholt enrolled in Medicare?
Yes. Mikki Bookholt 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 organizations bill Medicare for Mikki Bookholt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikki Bookholt reassigns Medicare benefits to 3 organizations: Atlantic Advanced Urgent Care (Morristown, NJ), Atlantic Urgent Care, LLC (Newton, NJ) and Urgent Care Physicians Of New Jersey, LLC (Red Bank, NJ). 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 Mikki Bookholt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mikki Bookholt affiliated with any hospitals?
According to CMS data, Mikki Bookholt is affiliated with Morristown Medical Center.
When was this NPI record last updated?
The NPPES record for Mikki Bookholt was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mikki Bookholt, FNP-BC · NPI 1730073297
Family physician in Ledgewood, New Jersey. Individual provider, active in the CMS NPPES registry since June 6, 2025.
## Identity
- **NPI:** 1730073297 (Entity type: Individual)
- **Enumerated:** June 6, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15378800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 STATE ROUTE 10, Ledgewood, NJ 07852-9667
- **Phone:** (973) 584-6751
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Atlantic Advanced Urgent Care (NPI 1104309277, Morristown, NJ); Atlantic Urgent Care, LLC (NPI 1023358959, Newton, NJ); Urgent Care Physicians Of New Jersey, LLC (NPI 1447622402, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730073297) · Data from the CMS NPPES public registry.