HEATHER HOLSTEIN (MD) – Emergency Medicine Physician, NPI 1043604333

HEATHER HOLSTEIN (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 079566 (GA). The NPI Number for HEATHER HOLSTEIN (MD) is 1043604333

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER HOLSTEIN (MD)
NPI
1043604333
Phone
Not provided
Address
655 W 8TH ST
Enumeration Date
24 March 2015
Last Update Date
12 October 2018

Doctor Profile

Medical School Name
UNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Secondary Phone
7708673400
Graduation Year
2015 (11 years ago)
PAC ID
6103132741
Group Practice PAC ID
5597751032
Professional Enrollment ID
I20180913002304
Address ID
GA306802150WI316XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for HEATHER HOLSTEIN (MD)

  • 655 W 8TH ST

    JACKSONVILLE, FL 322096511

    Phone:

    Type: Mailing

  • 743 SPRING ST NE

    GAINESVILLE, GA 305013715

    Phone: (770) 219-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180913002304IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making247242$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only167165$0
99291Critical care, first 30-74 minutes154150$0
99284Emergency department visit with moderate level of medical decision making1616$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 32209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597751032View full group profile

Reviews

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Frequently asked questions

What is the registry number for HEATHER HOLSTEIN (MD)?
The registry entry for HEATHER HOLSTEIN (MD) shows NPI 1043604333.
Is HEATHER HOLSTEIN (MD)'s NPI status active today?
Active status means HEATHER HOLSTEIN (MD)'s NPI record is not deactivated in the public file.
What services align with HEATHER HOLSTEIN (MD)'s listing?
HEATHER HOLSTEIN (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to HEATHER HOLSTEIN (MD)?
HEATHER HOLSTEIN (MD) shows a connection to Jacksonville, Florida in registry-derived data.
Who maintains HEATHER HOLSTEIN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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