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JESSICA LYNN HOLSTER PH.D.
NPI 1790046274
Clinical Neuropsychologist in Dallas, TX

Active since May 31, 2012PECOS Enrolled
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 645-0624(214) 645-0078 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Lynn Holster Ph.d. NPPES

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

JESSICA LYNN HOLSTER PH.D. (NPI 1790046274) is an individual clinical neuropsychologist in Dallas, Texas, licensed in Texas (36949) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790046274
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJESSICA LYNN HOLSTERCredential: PH.D.
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-0624 · Fax (214) 645-0078
Phone(214) 645-0624
Fax(214) 645-0078
Sole ProprietorNo
Enumeration DateMay 31, 2012
Last NPPES UpdateDecember 1, 2014
✔ NPI 1790046274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in TX · 36949
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
5323 HARRY HINES BLVD, Dallas, TX 75390
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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 Oklahoma, Mending Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Holster Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Jessica Holster reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Regents Of The University Of Oklahoma - Ou Physicians
188 mi
Multi-Specialty
825 NE 10TH ST
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 845 clinicians in this Medicare group
NPI 1801869250 (405) 271-3932
Ou Health Partners, Inc
188 mi
Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
NPI 1528642642 (405) 271-3932

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. TANYA MARIE PLETIN PA-C
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. ALECIA CURLENE NERO M.D.
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-4180
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771
ALEX KOYFMAN M.D.
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-0624

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 Jessica Holster's NPI number?

The NPI number for Jessica Holster is 1790046274. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Jessica Holster located?

Jessica Holster practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 645-0624.

What is Jessica Holster's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jessica Holster enrolled in Medicare?

Yes. Jessica Holster is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Holster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Holster reassigns Medicare benefits to 2 organizations: Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK) and Ou Health Partners, Inc (Oklahoma City, 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 Jessica Holster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Holster accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and Oscar Insurance Company list Jessica Holster 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 Jessica Holster was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.