MS. JEANNE E. HOLDREN (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1497860811

MS. JEANNE E. HOLDREN (APN) is a healthcare provider. based in Flora, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209011258 (IL). The NPI Number for MS. JEANNE E. HOLDREN (APN) is 1497860811

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. JEANNE E. HOLDREN (APN)
NPI
1497860811
Phone
(618) 662-2191
Address
929 STACEY BURK DR
Enumeration Date
19 August 2006
Last Update Date
21 June 2016

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6189433302
Graduation Year
1999 (27 years ago)
PAC ID
7315161593
Group Practice PAC ID
9830093723
Professional Enrollment ID
I20140609001296
Address ID
IL624392027LA2101XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. JEANNE E. HOLDREN (APN)

  • 929 STACEY BURK DR

    FLORA, IL 628393241

    Phone: (618) 662-2191

    Fax: (618) 662-2292

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $1,919.

Total Amount is formed as General ($1,919) + Research ($0) + Ownership ($0) = $1,919.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($710).

Total Amount

$1,919

General + Research + Ownership

Payments

113

Total payment records

General Amount

$1,919

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-06-09

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
I20140609001296INurse PractitionerILTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes6426$0
View full utilization report →

Insurance plans in this area (ZIP 62839)

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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: 9830093723View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)IN
Clinical Social WorkerIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the standard ID for MS. JEANNE E. HOLDREN (APN) in the U.S.?
In the U.S., MS. JEANNE E. HOLDREN (APN) is identified by NPI 1497860811.
Quick check: is MS. JEANNE E. HOLDREN (APN) active?
Public NPPES data shows MS. JEANNE E. HOLDREN (APN) with an active NPI status right now.
What does the directory say MS. JEANNE E. HOLDREN (APN) does?
Insurance directories may phrase it differently, but here MS. JEANNE E. HOLDREN (APN) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. JEANNE E. HOLDREN (APN)?
MS. JEANNE E. HOLDREN (APN) shows a connection to Flora, Illinois in registry-derived data.
Can I export MS. JEANNE E. HOLDREN (APN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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