KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124692553

KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP) is a healthcare provider. based in Waverly, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PMHNP-BC, ARNP. They hold a License No. 2536446 (MN). The NPI Number for KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP) is 1124692553

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP)
NPI
1124692553
Phone
(319) 483-1390
Address
312 9th St SW
Enumeration Date
19 May 2021
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193524120
Graduation Year
2021 (5 years ago)
PAC ID
8325441462
Group Practice PAC ID
8820996762
Professional Enrollment ID
I20250729004757
Address ID
IA506772929WA312XXSWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:5State licenses:4Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP)

  • 312 9th St SW

    Waverly, IA 506772999

    Phone: (319) 483-1390

    Fax: (888) 927-0654

    Type: Location

  • 4240 PARK GLEN RD

    ST LOUIS PARK, MN 554165427

    Phone: (612) 925-6033

    Fax: (612) 925-8496

    Type: Mailing

  • 1155 FORD RD STE B

    ST LOUIS PARK, MN 554261115

    Phone: (952) 378-1800

    Fax: (952) 378-1714

    Type: Location

  • 1825 LOGAN AVE

    WATERLOO, IA 50703

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 119 Open Payments records for all available years, with a total value of $1,256.

Total Amount is formed as General ($1,256) + Research ($0) + Ownership ($0) = $1,256.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($267).

Total Amount

$1,256

General + Research + Ownership

Payments

119

Total payment records

General Amount

$1,256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210727001004INurse PractitionerIATBD
I20250729004757INurse PractitionerMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50677)

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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: 8820996762View full group profile
NameSpecialtyState
-IA
Certified Registered Nurse Anesthetist (Crna)WA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeIA
Family PracticeIA
General Surgery, General PracticeIA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)HI

Reviews

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Frequently asked questions

What is the registry number for KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP)?
The registry entry for KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP) shows NPI 1124692553.
Does the public listing show KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP) as active?
KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP)?
NPPES ties KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP)?
KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP) shows a connection to Waverly, Iowa in registry-derived data.
Why is information missing for KATHLEEN MEREDITH HOLDEN (MSN, PMHNP-BC, ARNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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