CHARITY J HOLTSCLAW
NPI 1770247074
Nurse Practitioner - Family in Bloomington, IN
About Charity J Holtsclaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARITY J HOLTSCLAW (NPI 1770247074) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71011756A) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Monroe Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Charity J Holtsclaw 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 Charity Holtsclaw reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bedford, IN 47421
- Reassigned Medicare billing, Indiana enrollment
- 156 clinicians in this Medicare group
Corydon, IN 47112
- Reassigned Medicare billing, Indiana enrollment
- 73 clinicians in this Medicare group
- Reassigned Medicare billing, Indiana enrollment
- 48 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monroe Hospital
Acute Care Hospitals · Bloomington, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charity Holtsclaw's NPI number?
The NPI number for Charity Holtsclaw is 1770247074. It was assigned to this individual provider in the NPPES registry on October 25, 2021.
Where is Charity Holtsclaw located?
Charity Holtsclaw practices at 3211 W Reddy Way, Bloomington, IN 47403. The listed phone number is (812) 825-0777.
What is Charity Holtsclaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Charity Holtsclaw enrolled in Medicare?
Yes. Charity Holtsclaw 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 Charity Holtsclaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charity Holtsclaw reassigns Medicare benefits to 3 organizations: Fc Indiana, LLC (Bedford, IN), Harrison County Hospital (Corydon, IN) and Monroe Medical Group Inc (IN). 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 Charity Holtsclaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charity Holtsclaw accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Charity Holtsclaw 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.
Is Charity Holtsclaw affiliated with any hospitals?
According to CMS data, Charity Holtsclaw is affiliated with Monroe Hospital.
When was this NPI record last updated?
The NPPES record for Charity Holtsclaw was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Charity J Holtsclaw · NPI 1770247074
Family physician in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since October 25, 2021.
## Identity
- **NPI:** 1770247074 (Entity type: Individual)
- **Enumerated:** October 25, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71011756A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3211 W REDDY WAY, Bloomington, IN 47403-4066
- **Phone:** (812) 825-0777 · **Fax:** (812) 825-3917
## 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): Fc Indiana, LLC (NPI 1225579063, Bedford, IN); Harrison County Hospital (NPI 1447497623, Corydon, IN); Monroe Medical Group Inc (IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1770247074) · Data from the CMS NPPES public registry.