MISS TRACIE ANN HOLBERT (FNP) – Family Nurse Practitioner, NPI 1639622285
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS TRACIE ANN HOLBERT (FNP)
270 Maple Summit Rd
Jerseyville, IL 620522004
Phone: (618) 498-2273
Fax: (618) 639-8000
Type: Location
Thomas H. Boyd Memorial Hospital, 800, School Street, Carrollton, Greene County, Illinois, 62016, United States
CARROLLTON, IL 620161436
Phone: (217) 942-6946
Fax: (217) 942-3785
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $655.
Total Amount is formed as General ($655) + Research ($0) + Ownership ($0) = $655.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($288).
Total Amount
$655
General + Research + Ownership
Payments
35
Total payment records
General Amount
$655
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $288 |
| Lilly USA, LLC | $220 |
| AstraZeneca Pharmaceuticals LP | $85 |
| Phathom Pharmaceuticals, Inc. | $25 |
| Abbott Laboratories | $22 |
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: 2016-09-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160906001114 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 16 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 14 | 14 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 13 | 12 | $0 |
Insurance plans in this area (ZIP 62052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| G A S T R O E N T E R O L O G Y | TX | |
| Internal Medicine | IL | |
| General Surgery | IL | |
| - | IL | |
| General Surgery | IL | |
| Family Practice | IL | |
| - | IL | |
| - | IL |
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