MRS. KIMBERLY KAY HOLT APRN
NPI 1730496423
Nurse Practitioner in Ponca City, OK
About Mrs. Kimberly Kay Holt Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLY KAY HOLT APRN (NPI 1730496423) is an individual nurse practitioner in Ponca City, Oklahoma, licensed in Oklahoma (78490) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Mrs. Kimberly Kay Holt 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 Reassignments
2Medicare enrollment records show Kimberly Holt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ponca City, OK 74601
- Reassigned Medicare billing, Oklahoma enrollment
- 22 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 249 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.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74601 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PONCA CITY, OK 74601
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 Kimberly Holt's NPI number?
The NPI number for Kimberly Holt is 1730496423. It was assigned to this individual provider in the NPPES registry on September 2, 2010.
Where is Kimberly Holt located?
Kimberly Holt practices at 200 White Eagle Dr, Ponca City, OK 74601. The listed phone number is (580) 765-2501.
What is Kimberly Holt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kimberly Holt enrolled in Medicare?
Yes. Kimberly Holt 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 Kimberly Holt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Holt reassigns Medicare benefits to 2 organizations: White Eagle Health Center (Ponca City, OK) and Williams Medical Group Practice, LLC (Lawton, 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 Kimberly Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly 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 list Kimberly 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 Kimberly Holt was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Kimberly Kay Holt, APRN · NPI 1730496423
Nurse Practitioner physician in Ponca City, Oklahoma. Individual provider, active in the CMS NPPES registry since September 2, 2010.
## Identity
- **NPI:** 1730496423 (Entity type: Individual)
- **Enumerated:** September 2, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 78490 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 WHITE EAGLE DR, Ponca City, OK 74601-8315
- **Phone:** (580) 765-2501
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): White Eagle Health Center (NPI 1699875724, Ponca City, OK); Williams Medical Group Practice, LLC (NPI 1346608809, Lawton, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** November 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730496423) · Data from the CMS NPPES public registry.