KEYONNA MONIQUE HOLMES FNP-BC
NPI 1861027294
Nurse Practitioner - Family in Windsor Mill, MD
About Keyonna Monique Holmes Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYONNA MONIQUE HOLMES FNP-BC (NPI 1861027294) is an individual family provider in Windsor Mill, Maryland, licensed in Maryland (R197278) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keyonna Monique Holmes Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keyonna Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pikesville, MD 21208
- Reassigned Medicare billing, Maryland enrollment
- 103 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Keyonna Holmes's NPI number?
The NPI number for Keyonna Holmes is 1861027294. It was assigned to this individual provider in the NPPES registry on March 5, 2020.
Where is Keyonna Holmes located?
Keyonna Holmes practices at 7117 Manila Ave, Windsor Mill, MD 21244. The listed phone number is (443) 762-0080.
What is Keyonna Holmes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keyonna Holmes enrolled in Medicare?
Yes. Keyonna Holmes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keyonna Holmes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keyonna Holmes reassigns Medicare benefits to Lifebridge Community Gastroenterology, LLC (Pikesville, MD). The 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 Keyonna Holmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keyonna Holmes was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Keyonna Monique Holmes, FNP-BC · NPI 1861027294
Family physician in Windsor Mill, Maryland. Individual provider, active in the CMS NPPES registry since March 5, 2020.
## Identity
- **NPI:** 1861027294 (Entity type: Individual)
- **Enumerated:** March 5, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R197278 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7117 MANILA AVE, Windsor Mill, MD 21244-3430
- **Phone:** (443) 762-0080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lifebridge Community Gastroenterology, LLC (NPI 1033558416, Pikesville, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1861027294) · Data from the CMS NPPES public registry.