KEITH HOLLEY FNP-C
NPI 1992483903
Nurse Practitioner - Family in Hendersonville, TN

Active since July 10, 2023PECOS EnrolledAccepts Medicare Assignment
353 NEW SHACKLE ISLAND RD STE 140C, HENDERSONVILLE, TN 37075(615) 826-5664 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2025, Jun 6, 2025, Mar 14, 2025 and 1 more (4 updates tracked since 2023).

About Keith Holley Fnp-c NPPES

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

KEITH HOLLEY FNP-C (NPI 1992483903) is an individual family provider in Hendersonville, Tennessee, licensed in Tennessee (34210) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt Tullahoma-harton Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992483903
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEITH HOLLEYCredential: FNP-C
Location Address353 NEW SHACKLE ISLAND RD STE 140CHendersonville, TN 37075-2366
Mailing Address123 Trail Ridge WayHendersonville, TN 37075-2190
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 10, 2023
Last NPPES UpdateJune 25, 20254 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1992483903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 34210
Also ListedFamily MedicineTaxonomy 207Q00000X · License 34210 (TN)
353 NEW SHACKLE ISLAND RD STE 140C, Hendersonville, TN 37075

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

Keith Holley Fnp-c 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.

PECOS PAC ID6406391325
PECOS Enrollment IDI20240715003248
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

3

Medicare enrollment records show Keith Holley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1156 NASHVILLE PIKE
Gallatin, TN 37066
  • Reassigned Medicare billing, Tennessee enrollment
  • 195 clinicians in this Medicare group
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Tennessee enrollment
  • 537 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
353 NEW SHACKLE ISLAND RD STE 140C
HENDERSONVILLE, TN 37075
Physician Assistant
353 NEW SHACKLE ISLAND RD STE 140C
HENDERSONVILLE, TN 37075
Nurse Practitioner (Family)
353 NEW SHACKLE ISLAND RD STE 140C
HENDERSONVILLE, TN 37075
Family Medicine
353 NEW SHACKLE ISLAND RD STE 140C
HENDERSONVILLE, TN 37075
Nurse Practitioner (Family)
353 NEW SHACKLE ISLAND RD STE 140C
HENDERSONVILLE, TN 37075
Physician Assistant
353 NEW SHACKLE ISLAND RD STE 140C
HENDERSONVILLE, TN 37075

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 Keith Holley's NPI number?

The NPI number for Keith Holley is 1992483903. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Keith Holley located?

Keith Holley practices at 353 New Shackle Island Rd Ste 140C, Hendersonville, TN 37075. The listed phone number is (615) 826-5664.

What is Keith Holley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Keith Holley enrolled in Medicare?

Yes. Keith Holley 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 Keith Holley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Holley reassigns Medicare benefits to 3 organizations: Anova Medical Associates, Plc (Gallatin, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN) and Upperline Healthcare, PC (Hoover, AL). 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 Keith Holley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Holley accept?

Health plans from Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Keith Holley 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 Keith Holley affiliated with any hospitals?

According to CMS data, Keith Holley is affiliated with Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for Keith Holley was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.