KELSIE MARIE HOLMES (D.O.) – Family Medicine Physician, NPI 1740818954

KELSIE MARIE HOLMES (D.O.) is a healthcare provider. based in Boone, Iowa. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. OP61435796 (WA). The NPI Number for KELSIE MARIE HOLMES (D.O.) is 1740818954

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KELSIE MARIE HOLMES (D.O.)
NPI
1740818954
Phone
(515) 432-2335
Address
1115 S MARSHALL STREET
Enumeration Date
1 April 2020
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5154322335
Graduation Year
2020 (6 years ago)
PAC ID
6002276474
Group Practice PAC ID
0941192751
Professional Enrollment ID
I20241002001610
Address ID
IA500365304BO1115XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for KELSIE MARIE HOLMES (D.O.)

  • 1115 S MARSHALL STREET

    BOONE, IA 500365304

    Phone: (515) 432-2335

    Fax: (515) 432-2357

    Type: Mailing

  • 624 E FRONT AVE

    SPOKANE, WA 992022139

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Gilead Sciences, Inc. ($74).

Total Amount

$74

General + Research + Ownership

Payments

1

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$74
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: 2024-10-02

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
I20241002001610IFamily PracticeIATBD

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 50036)

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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: 0941192751View full group profile
NameSpecialtyState
Family PracticeIA
Family Practice, Emergency MedicineIA
Family Practice, Obstetrics/GynecologyWA
Family PracticeIA
-IA
-NY
Family PracticeIA
Family Practice, Obstetrics/GynecologyIA

Reviews

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Frequently asked questions

How do payers reference KELSIE MARIE HOLMES (D.O.)?
For KELSIE MARIE HOLMES (D.O.), use NPI 1740818954 as the unique 10-digit identifier.
Is KELSIE MARIE HOLMES (D.O.) still an active registrant?
KELSIE MARIE HOLMES (D.O.) carries an active NPI according to the public dataset.
What clinical focus is listed for KELSIE MARIE HOLMES (D.O.)?
At a glance, KELSIE MARIE HOLMES (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELSIE MARIE HOLMES (D.O.)?
Travel planning: use Boone, Iowa as the reference point for KELSIE MARIE HOLMES (D.O.), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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