HOLLY LAUE (NP-C) – Nurse Practitioner, NPI 1255743076

Nurse Practitioner

HOLLY LAUE (NP-C) is a healthcare provider. based in Sullivan, Indiana. specializing in Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. 71004904A (IN). The NPI Number for HOLLY LAUE (NP-C) is 1255743076

Main info

Female

12 Years Of Experience

Accepts Medicare Assignment

Name

HOLLY LAUE (NP-C)

NPI

1255743076

Phone

(812) 268-4311

Address

PO BOX 10

Enumeration Date

28 May 2014

Last Update Date

6 September 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8122686292

Graduation Year

2014 (12 years ago)

PAC ID

0648495549

Group Practice PAC ID

0547486136

Professional Enrollment ID

I20140709001985

Contacts

Secure Messaging

holly.laue.1@8793.direct.athenahealth.com

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience53

Completeness85

Years active:12State licenses:1Other namesUpdated within 12 months

Provider Addresses for HOLLY LAUE (NP-C)

PO BOX 10
SULLIVAN, IN 478820010
Phone: (812) 268-4311
Type: Mailing
6331 E FREELANDVILLE RD
OAKTOWN, IN 475618203
Phone: (812) 745-2000
Fax: (812) 745-2000
Type: Location
2418 16th St
Bedford, IN 474213049
Phone: (812) 508-2418
Type: Location
1569 A St NE
Linton, IN 474411607
Phone: (812) 846-3380
Type: Location
2200 N SECTION ST
SULLIVAN, IN 478827523
Phone: (812) 268-4311
Fax: (812) 268-6809
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: 2014-07-09

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

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
I20140709001985	I	Nurse Practitioner	IN	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99213	Established patient office or other outpatient visit, 20-29 minutes	138	126	$0
99203	New patient office or other outpatient visit, 30-44 minutes	11	11	$0

View full utilization report →

Insurance plans in this area (ZIP 47882)

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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: 0547486136View full group profile