JENNIFER ANN HOLTZBACH
NPI 1912505595
Nurse Practitioner - Critical Care Medicine in Staten Island, NY

Q: What is Jennifer Holtzbach's NPI number?

The NPI number for Jennifer Holtzbach is 1912505595. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Q: What is Jennifer Holtzbach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Active since October 15, 2020PECOS Enrolled

91.25/100

CMS Quality Rating

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Ann Holtzbach NPPES

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

JENNIFER ANN HOLTZBACH (NPI 1912505595) is an individual critical care medicine provider in Staten Island, New York, licensed in New York (431802) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912505595

Entity TypeIndividualFemale

Primary Taxonomy363LC0200X

Provider Legal NameJENNIFER ANN HOLTZBACH

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address25 Mott StStaten Island, NY 10312-3405 · (718) 340-8322

Phone(718) 226-9000

Sole ProprietorNo

Enumeration DateOctober 15, 2020

NPPES CertifiedOctober 15, 2020

✔ NPI 1912505595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in NY · 431802

475 SEAVIEW AVE, Staten Island, NY 10305

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Ann Holtzbach 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)