KELLI HOLLAND NP
NPI 1962108837
Nurse Practitioner in Portage, IN
About Kelli Holland Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI HOLLAND NP (NPI 1962108837) is an individual nurse practitioner in Portage, Indiana, licensed in Indiana (71013530A) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kelli Holland Np 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 Kelli Holland reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hobart, IN 46342
- Reassigned Medicare billing, Indiana enrollment
- 44 clinicians in this Medicare group
Gary, IN 46404
- Reassigned Medicare billing, Indiana enrollment
- 201 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 2
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.
St Mary Medical Center Inc
Acute Care Hospitals · Hobart, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46368 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTAGE, IN 46368
PORTAGE, IN 46368
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 Kelli Holland's NPI number?
The NPI number for Kelli Holland is 1962108837. It was assigned to this individual provider in the NPPES registry on February 2, 2023.
Where is Kelli Holland located?
Kelli Holland practices at 3156 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 762-9444.
What is Kelli Holland's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelli Holland enrolled in Medicare?
Yes. Kelli Holland 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 Kelli Holland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Holland reassigns Medicare benefits to 2 organizations: 24 On Physician Partners, PC (Hobart, IN) and The Methodist Hospitals, Inc (Gary, 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 Kelli Holland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Holland accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Kelli Holland 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 Kelli Holland affiliated with any hospitals?
According to CMS data, Kelli Holland is affiliated with St Mary Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Kelli Holland was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kelli Holland, NP · NPI 1962108837
Nurse Practitioner physician in Portage, Indiana. Individual provider, active in the CMS NPPES registry since February 2, 2023.
## Identity
- **NPI:** 1962108837 (Entity type: Individual)
- **Enumerated:** February 2, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71013530A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3156 WILLOWCREEK RD, Portage, IN 46368-4424
- **Phone:** (219) 762-9444
## 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): 24 On Physician Partners, PC (NPI 1013497106, Hobart, IN); The Methodist Hospitals, Inc (NPI 1720290349, Gary, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 2, 2023
- **Other identifiers:** Other 71013530A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1962108837) · Data from the CMS NPPES public registry.