ANNA KATHLEEN HOLDENER – Certified Registered Nurse Anesthetist, NPI 1467036186

ANNA KATHLEEN HOLDENER is a healthcare provider. based in Shiloh, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 41464571 (IL). The NPI Number for ANNA KATHLEEN HOLDENER is 1467036186

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ANNA KATHLEEN HOLDENER
NPI
1467036186
Phone
(618) 607-1000
Address
1404 Cross St
Enumeration Date
9 May 2021
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6186071000
Graduation Year
2021 (5 years ago)
PAC ID
9739581489
Group Practice PAC ID
9830480581
Professional Enrollment ID
I20210716002449
Address ID
IL622692988SH1404XSTXX300

Contacts

FHIR Endpoint
HIE
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:5State licenses:3Other namesUpdated within 12 months

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for ANNA KATHLEEN HOLDENER

  • 1404 Cross St

    Shiloh, IL 622692988

    Phone: (618) 607-1000

    Type: Location

  • PO BOX 23229

    BELLEVILLE, IL 622230229

    Phone:

    Type: Mailing

  • 4500 MEMORIAL DR

    BELLEVILLE, IL 622265399

    Phone: (618) 233-7750

    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: 2021-07-16

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
I20210716002449ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 62269)

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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: 9830480581View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Certified Registered Nurse Anesthetist (Crna)MO
Anesthesiology AssistantNC
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Critical Care (Intensivists)MO
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology AssistantMO

Reviews

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Frequently asked questions

What number should I use to identify ANNA KATHLEEN HOLDENER for billing?
Administrative and clinical systems typically use NPI 1467036186 for ANNA KATHLEEN HOLDENER.
Does the public listing show ANNA KATHLEEN HOLDENER as active?
ANNA KATHLEEN HOLDENER's NPI record reflects an active status in NPPES.
Which specialty label fits ANNA KATHLEEN HOLDENER?
NPPES ties ANNA KATHLEEN HOLDENER to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ANNA KATHLEEN HOLDENER?
ANNA KATHLEEN HOLDENER shows a connection to Shiloh, Illinois in registry-derived data.
Why is information missing for ANNA KATHLEEN HOLDENER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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